Imaging decision-making for transfemoral or transapical approach of transcatheter aortic valve implantation.
Transcatheter aortic valve implantation has been shown to be a feasible alternative to surgical aortic valve replacement in selected high-risk patients. Although, being less invasive, catheter techniques remain associated with the potential of serious complications. Procedural success and avoidance of such complications critically depends on careful patient selection and comprehensive preprocedural evaluation of vascular access, cardiac and aortic root anatomy. This article reviews the role of currently available imaging modalities for appropriate patient selection and decision between transfemoral and transapical approach.
Kaleschke
Gerrit
G
Adult Congenital and Valvular Heart Disease Center Muenster, Department of Cardiology and Angiology, University of Muenster, Muenster, Germany.
Seifarth
Harald
H
Kerckhoff
Gregor
G
Reinecke
Holger
H
Baumgartner
Helmut
H
D001021:Aortic Valve / Q000000981:diagnostic imaging; D006328:Cardiac Catheterization / Q000295:instrumentation; D003952:Diagnostic Imaging / Q000379:methods; D017548:Echocardiography, Transesophageal; D005263:Femoral Artery; D006349:Heart Valve Diseases / Q000175:diagnosis* / Q000628:therapy; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D018579:Patient Selection; D011237:Predictive Value of Tests; D017534:Radial Artery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome