Recommendations for comprehensive intraprocedural echocardiographic imaging during TAVR

Rebecca T. Hahn; Stephen H. Little; Mark J. Monaghan; Susheel K. Kodali; Mathew Williams; Martin B. Leon; Linda D. Gillam

doi:10.1016/j.jcmg.2014.12.014

Recommendations for comprehensive intraprocedural echocardiographic imaging during TAVR

Rebecca T. Hahn, Stephen H. Little, Mark J. Monaghan, Susheel K. Kodali, Mathew Williams, Martin B. Leon, Linda D. Gillam

Research output: Contribution to journal › Review article

70 Scopus citations

Abstract

Recent multicenter trials have shown that transcatheter aortic valve replacement is an alternative to surgery in a high risk population of patients with severe, symptomatic aortic stenosis. Echocardiography and multislice computed tomographic imaging are accepted tools in the pre-procedural imaging of the aortic valve complex and vascular access. Transesophageal echocardiography can be valuable for intraprocedural confirmation of the landing zone morphology and measurements, positioning of the valve and post-procedural evaluation of complications. The current paper provides recommendations for pre-procedural and intraprocedural imaging used in assessing patients for transcatheter aortic valve replacement with either balloon-expandable or self-expanding transcatheter heart valves.

Original language	English (US)
Pages (from-to)	261-287
Number of pages	27
Journal	JACC: Cardiovascular Imaging
Volume	8
Issue number	3
DOIs	https://doi.org/10.1016/j.jcmg.2014.12.014
State	Published - Mar 1 2015

Keywords

TAVR
aortic stenosis
aortic valve
echocardiography

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1016/j.jcmg.2014.12.014

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title = "Recommendations for comprehensive intraprocedural echocardiographic imaging during TAVR",

abstract = "Recent multicenter trials have shown that transcatheter aortic valve replacement is an alternative to surgery in a high risk population of patients with severe, symptomatic aortic stenosis. Echocardiography and multislice computed tomographic imaging are accepted tools in the pre-procedural imaging of the aortic valve complex and vascular access. Transesophageal echocardiography can be valuable for intraprocedural confirmation of the landing zone morphology and measurements, positioning of the valve and post-procedural evaluation of complications. The current paper provides recommendations for pre-procedural and intraprocedural imaging used in assessing patients for transcatheter aortic valve replacement with either balloon-expandable or self-expanding transcatheter heart valves.",

keywords = "TAVR, aortic stenosis, aortic valve, echocardiography",

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AU - Little, Stephen H.

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AU - Williams, Mathew

AU - Leon, Martin B.

AU - Gillam, Linda D.

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AB - Recent multicenter trials have shown that transcatheter aortic valve replacement is an alternative to surgery in a high risk population of patients with severe, symptomatic aortic stenosis. Echocardiography and multislice computed tomographic imaging are accepted tools in the pre-procedural imaging of the aortic valve complex and vascular access. Transesophageal echocardiography can be valuable for intraprocedural confirmation of the landing zone morphology and measurements, positioning of the valve and post-procedural evaluation of complications. The current paper provides recommendations for pre-procedural and intraprocedural imaging used in assessing patients for transcatheter aortic valve replacement with either balloon-expandable or self-expanding transcatheter heart valves.

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