Key result
Advanced TEE and CT imaging guides candidate selection, vascular access evaluation, and TAVR planning.
Why the study?
Adequate selection of TAVR candidates using multimodal cardiac imaging is vital due to elevated morbimortality in severe AS patients at high surgical risk.
This review highlights the critical role of multimodal imaging (TEE and CT) in candidate selection, vascular access evaluation, and procedure planning for TAVR in high-risk severe aortic stenosis patients.
Multimodal imaging is vital for TAVR candidate selection in high-risk severe AS; leaves open standardized protocols for broader adoption.
The fast development of transcatheter aortic valvereplacement (TAVR) would not have possible withoutthe invaluable collaboration of multimodal cardiac imaging,particularly transesophageal echocardiography(TEE) and computerized axial tomography (CT scan).Given the elevated morbimortality associated with severeaortic stenosis (AS) presenting high surgical risk,an adequate selection of TAVR candidates is of vitalimportance for the program´s success. (1) This reviewdescribes the role of these techniques for the appropriateselection of candidates, vascular access routeevaluation and procedure planning in patients withsevere AS considered at high surgical risk.
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Maluenda et al. (2014) conducted a review in Severe aortic stenosis at high surgical risk. Advanced cardiac imaging (TEE and CT scan) was evaluated. Advanced cardiac imaging, particularly transesophageal echocardiography and CT scans, plays a vital role in candidate selection, vascular access evaluation, and TAVR procedure planning.
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