Evolving computed tomography angiography for aortic valve replacement: Optimizing transcatheter and surgical therapies

J Card Surg. 2022 Dec;37(12):4124-4132. doi: 10.1111/jocs.16977. Epub 2022 Sep 28.

Abstract

Transcatheter aortic valve replacement (TAVR) has transformed the treatment of aortic stenosis and pre-procedure planning relies heavily on advanced imaging. Multidetector computed tomography angiography, the "TAVR CT," facilitates essential planning steps of measuring the aortic root for valve sizing and feasibility and assessment of potential access vessels, making it the guideline gold standard in preprocedural TAVR work up. This Impact of Advanced Imaging Techniques on Cardiac Surgery article will examine the development of TAVR CT, illustrate the current impact and utility, and highlight potential areas of future growth. Clinicians who keep informed of these changes and can become proficient with TAVR CT analyses will offer patients the most optimal results and fuel future therapeutic growth.

Keywords: CTA; MDCT; TAVI; TAVR; Transcatheter aortic valve replacement; computed tomography angiogram; multidetector computed tomography; transcatheter aortic valve implantation.

Publication types

  • Review

MeSH terms

  • Angiography
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / diagnostic imaging
  • Aortic Valve Stenosis* / surgery
  • Computed Tomography Angiography
  • Heart Valve Prosthesis*
  • Humans
  • Multidetector Computed Tomography / methods
  • Predictive Value of Tests
  • Transcatheter Aortic Valve Replacement* / methods
  • Treatment Outcome