title: Patient selection for transcatheter aortic valve implantation: patient risk profile and anatomical selection criteria.
abstract: Patient selection plays a crucial role in the success of transcatheter aortic valve implantation (TAVI). It requires meticulous attention to the smallest of details and needs to be performed in a systematic manner for every patient. In essence, the patient must be assessed from access to implantation site. Becoming over "complacent" and "routine" may lead to failure and impact patient safety. TAVI is indicated for high or prohibitive surgical risk patients with severe aortic stenosis. Some patients, however, are too high risk even for TAVI. In addition to patient risk evaluation, anatomical selection criteria need to be considered. Multimodality imaging, using a combination of angiography, echocardiography and multislice computed tomography, is necessary to determine the anatomical suitability for the procedure.
authors.affiliation: Department of Interventional Cardiology, McGill University Health Center, Royal Victoria Hospital, Montreal, Quebec, Canada. nicolopiazza@mac.com
authors.forename: Nicolo
authors.initials: N
authors.lastname: Piazza
authors.forename: Ruediger
authors.initials: R
authors.lastname: Lange
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Martucci
authors.forename: Patrick W
authors.initials: PW
authors.lastname: Serruys
mesh_terms: D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods*; D003952:Diagnostic Imaging / Q000379:methods*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D061214:Patient Safety; D018579:Patient Selection; D011474:Prosthesis Design; D011859:Radiography; D018570:Risk Assessment / Q000379:methods*; D014463:Ultrasonography