title: Transcatheter aortic valve repair, imaging, and electronic imaging health record.
abstract: Degenerative aortic stenosis (AS) is a common valvular pathology in developed nations. Secondary to advanced age and often multiple co-morbidities, a significant percentage of patients are not considered surgical candidates. For these high-risk patients, transcatheter aortic valve replacement (TAVR) is a rapidly emerging less-invasive treatment alternative. Because of the lack of direct exposure and visualization of the operative field, pre-procedural planning and intra-procedural guidance relies on imaging. Large 3-dimensional data files are acquired, which are reconstructed on advanced workstations during review and interpretation. Optimally, the imaging data is organized into a comprehensive digital file as an integral part of the electronic health record (EHR) following the patient. This manuscript will discuss the role of image data management in the context of TAVR.
authors.affiliation: Cleveland Clinic, Imaging Institute and Heart & Vascular Institute, OH 44195, USA. schoenp1@ccf.org
authors.forename: Paul
authors.initials: P
authors.lastname: Schoenhagen
authors.forename: Juergen
authors.initials: J
authors.lastname: Falkner
authors.forename: David
authors.initials: D
authors.lastname: Piraino
mesh_terms: D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods; D057286:Electronic Health Records; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D011857:Radiographic Image Interpretation, Computer-Assisted / Q000379:methods; D011873:Radiology Information Systems; D014057:Tomography, X-Ray Computed