Multidetector computed tomography evaluation of candidates for transcatheter aortic valve implantation

被引:3
|
作者
Guillen Subiran, M. E. [1 ]
Ros Mendoza, L. H. [1 ]
Angulo Hervias, E. [1 ]
Yaguee Romeo, D. [1 ]
Nunez Motilva, M. E. [1 ]
机构
[1] Hosp Univ Miguel Servet, Serv Radiodiagnost, Zaragoza, Spain
来源
RADIOLOGIA | 2018年 / 60卷 / 01期
关键词
Aortic valve stenosis; Transcatheter aortic valve replacement; Multidetector computed tomography;
D O I
10.1016/j.rx.2017.08.003
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
In transcatheter aortic valve implantation (TAVI), a biologic valve mounted in a stent is implanted without removing the native valve. This procedure was first done in humans by Alain Cribier in 2002 and was included in clinical guidelines after the multicenter PARTNER (Placement of AoRtic TraNscathetER) randomized clinical trial, which showed that TAVI obtained better outcomes than conservative medical treatment and is an alternative to surgery in patients with high surgical risk. Candidates for TAVI must be assessed to determine whether the procedure is feasible, because TAVI is not ideal for all patients who are considered inoperable. Multidetector computed tomography plays an important role in the anatomic evaluation of candidates and in guiding the procedure in those who are finally selected. (c) 2017 SERAM. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:24 / 38
页数:15
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