Key result
Multi-slice computed tomography (MSCT) is essential in pre-TAVI screening for patient selection, prosthesis sizing, and access route mapping based on experience from over 400 procedures.
MSCT is an essential imaging modality for comprehensive pre-procedural planning in patients undergoing TAVI.
Aortic valve stenosis (AS) is the most common valvular heart disease among elderly. Trans-catheter aortic valve implantation (TAVI) has become an established and effective alternative therapeutical procedure for inoperable and high-risk patients with symptomatic AS. The procedural success is greatly dependent on a thorough pre-TAVI imaging screening. This requires a comprehensive and multi-modality approach, in which multi-slice computed tomography (MSCT) is the cornerstone in the selection of eligible patients, in choosing the appropriate prosthesis and size, and in mapping the safest access route for the intervention. From our experience of more than 400 TAVI procedures and many more MSCTs for screening purposes, we provide clinical and technical details on the use of MSCT pre-TAVI and brief review of the knowledge so far.
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Latsios et al. (2017) conducted a review in Aortic valve stenosis. Multi-slice computed tomography (MSCT) was evaluated. Multi-slice computed tomography (MSCT) is essential in pre-TAVI screening for patient selection, prosthesis sizing, and access route mapping based on experience from over 400 procedures.
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