Updates on Transcatheter Aortic Valve Replacement and the Role of Multi-Detector Computed Tomography: What a Radiologist Should Know

Cardiovascular Imaging Asia 2018년 2권 3호 p.110 ~ p.122

(Mo Yuan-Heng) - Cathay General Hospital Department of Radiology
(Kuo Yen-Shu) - Cathay General Hospital Department of Radiology
(Wang Yung-Cheng) - Cathay General Hospital Department of Radiology
(Wu MIng-Ting) - Kaohsiung Veterans General Hospital Department of Radiology

Abstract

The indications of the transcatheter aortic valve replacement (TAVR) procedure have been widely expanded and the number of cases has significantly increased in the past 15 years due to continued evolution of prosthetic devices, increased experience of cardiologists, and advancements in the cardiovascular imaging field. In this review article, we summarize updates on TAVR guidelines, state-of-the-art prosthetic devices, recommended pre- and post-procedural multi-detector computed tomography (MDCT) protocols, required imaging parameters and measurements, and post-procedural complications. We also address issues concerning the Asian population and patients with bicuspid aortic valve and emphasize some of the challenges ahead. MDCT is the recommended modality of choice for pre-procedural planning for TAVR and current guidelines state that MDCT should be performed by well-trained personnel and interpreted and analyzed by experienced radiologists who not only have a sound understanding of TAVR with respect to its indications, prosthetic devices, procedure, and complications, but also work in close collaboration with the Heart Team.

키워드

Transcatheter aortic valve replacement, Multidetector computed tomography, Aortic valve stenosis, Aortic dissection
원문 및 링크아웃 정보
등재저널 정보
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
MDCT is the recommended image modality for pre-procedural planning of the TAVR procedure
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드