Key result
Based on evidence from over 8000 patients, multimodality cardiac imaging plays a central role before, during, and after TAVI to optimize patient selection and minimize complications.
Multimodality cardiac imaging is essential for optimizing patient selection, procedural guidance, and outcome evaluation in TAVI to minimize complications.
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Supports multimodality imaging integration in TAVI pathways; leaves open optimal protocols pending prospective trials.
Current evidence based on more than 8000 high-risk patients with severe aortic stenosis has demonstrated that transcatheter aortic valve implantation (TAVI) is a feasible alternative to surgical aortic valve replacement in selected patients. Despite current promising results on hemodynamic and clinical improvements, there are several unresolved safety issues, such as the frequency of vascular complications, postprocedural paravalvular leak, atrioventricular heart block and stroke. Multimodality cardiac imaging may help to minimize these complications and may play a central role before (optimizing patient selection, selection of appropriate prosthesis size and anticipating the procedural approach), during and after TAVI (evaluating the immediate and long-term procedural results). This article reviews the state-of-the-art TAVI procedures and the role that multimodality cardiac imaging plays before, during and after TAVI.
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Delgado et al. (2009) conducted a review in Severe aortic stenosis (n=8,000). Multimodality cardiac imaging and Transcatheter aortic valve implantation (TAVI) was evaluated. Based on evidence from over 8000 patients, multimodality cardiac imaging plays a central role before, during, and after TAVI to optimize patient selection and minimize complications.
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