TY - JOUR

T1 - Transcatheter Aortic Valve Replacement

T2 - Role of Multimodality Imaging in Common and Complex Clinical Scenarios

AU - Bax, Jeroen J.

AU - Delgado, Victoria

AU - Hahn, Rebecca T.

AU - Leipsic, Jonathon

AU - Min, James K.

AU - Grayburn, Paul

AU - Sondergaard, Lars

AU - Yoon, Sung Han

AU - Windecker, Stephan

PY - 2020/1

Y1 - 2020/1

N2 - Transcatheter aortic valve replacement (TAVR) is an established therapy for patients with symptomatic severe aortic stenosis. Technological advances and the learning curve have resulted in better procedural results in terms of hemodynamic valve performance and intermediate-term clinical outcomes. The integration of anatomical and functional information provided by multimodality imaging has improved size selection of TAVR prostheses, permitted better patient selection, and provided new insights in the performance of the TAVR prostheses at follow-up. Furthermore, the field of TAVR continues to develop and expand the technique to younger patients with lower risk on the one hand, and more complex clinical scenarios, on the other hand, such as degenerated aortic bioprostheses, bicuspid aortic valves, or pure native aortic regurgitation. The present review article summarizes how multimodality imaging can be integrated in TAVR in clinical (sometimes complex) scenarios that have not been included in the landmark randomized clinical trials.

AB - Transcatheter aortic valve replacement (TAVR) is an established therapy for patients with symptomatic severe aortic stenosis. Technological advances and the learning curve have resulted in better procedural results in terms of hemodynamic valve performance and intermediate-term clinical outcomes. The integration of anatomical and functional information provided by multimodality imaging has improved size selection of TAVR prostheses, permitted better patient selection, and provided new insights in the performance of the TAVR prostheses at follow-up. Furthermore, the field of TAVR continues to develop and expand the technique to younger patients with lower risk on the one hand, and more complex clinical scenarios, on the other hand, such as degenerated aortic bioprostheses, bicuspid aortic valves, or pure native aortic regurgitation. The present review article summarizes how multimodality imaging can be integrated in TAVR in clinical (sometimes complex) scenarios that have not been included in the landmark randomized clinical trials.

KW - aortic regurgitation

KW - bicuspid aortic valve

KW - echocardiography

KW - multi-detector row computed tomography

KW - transcatheter aortic valve replacement

U2 - 10.1016/j.jcmg.2018.10.037

DO - 10.1016/j.jcmg.2018.10.037

M3 - Review

C2 - 31103575

AN - SCOPUS:85076855817

VL - 13

SP - 124

EP - 139

JO - JACC. Cardiovascular imaging

JF - JACC. Cardiovascular imaging

SN - 1876-7591

IS - Issue 1. Part 1

ER -