A Practical Guide to Multimodality Imaging of Transcatheter Aortic Valve Replacement

被引:137
作者
Bloomfield, Gerald S. [1 ,2 ]
Gillam, Linda D. [3 ]
Hahn, Rebecca T. [3 ]
Kapadia, Samir [4 ]
Leipsic, Jonathon [5 ]
Lerakis, Stamatios [6 ,7 ]
Tuzcu, Murat [4 ]
Douglas, Pamela S. [1 ,2 ]
机构
[1] Duke Univ, Med Ctr, Div Cardiovasc Med, Durham, NC 27715 USA
[2] Duke Clin Res Inst, Durham, NC USA
[3] Columbia Univ Coll Phys & Surg, Div Cardiol, New York, NY 10032 USA
[4] Cleveland Clin Fdn, Cleveland, OH 44195 USA
[5] Univ British Columbia, Dept Radiol & Med, Vancouver, BC V5Z 1M9, Canada
[6] Emory Univ Hosp, Div Cardiol, Atlanta, GA 30322 USA
[7] Attikon Univ, Gen Hosp, Med Sch Athens, Cardiol Clin, Athens, Greece
关键词
imaging; multimodality; transcatheter aortic valve replacement; MULTIDETECTOR COMPUTED-TOMOGRAPHY; PROSTHESIS-PATIENT MISMATCH; LEFT-VENTRICULAR MASS; MEDTRONIC-COREVALVE BIOPROSTHESIS; VASCULAR COMPLICATIONS; AMERICAN SOCIETY; IMPLANTATION; REGURGITATION; STENOSIS; ECHOCARDIOGRAPHY;
D O I
10.1016/j.jcmg.2011.12.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The advent of transcatheter aortic valve replacement (TAVR) is one of the most widely anticipated advances in the care of patients with severe aortic stenosis. This procedure is unique in many ways, one of which is the need for a multimodality imaging team-based approach throughout the continuum of the care of TAVR patients. Pre-procedural planning, intraprocedural implantation optimization, and long-term follow-up of patients undergoing TAVR require the expert use of various imaging modalities, each of which has its own strengths and limitations. Divided into 3 sections (pre-procedural, intraprocedural, and long-term follow-up), this review offers a single source for expert opinion and evidence-based guidance on how to incorporate the various modalities at each step in the care of a TAVR patient. Although much has been learned in the short span of time since TAVR was introduced, recommendations are offered for clinically relevant research that will lead to refinement of best practice strategies for incorporating multimodality imaging into TAVR patient care. (J Am Coll Cardiol Img 2012;5: 441-55) (C) 2012 by the American College of Cardiology Foundation
引用
收藏
页码:441 / 455
页数:15
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