HomeRole of CT in planning minimally invasive valvular repair

Role of CT in planning minimally invasive valvular repair

    C. Loewe

    The indication for transcatheter aortic valve implantation (TAVI) or replacement (TAVR) for severe aortic valve stenosis has been recently expanded and now includes not only patients ineligible for open surgery or at high risk of complications, but also those at intermediate-to-low risk.

    In 2020, the European Society of Cardiovascular Radiology released a consensus document now considered the new reference for the application of CT in planning TAVI. Appropriate patient selection based on clinical condition is not the only criterion to be considered for this minimally invasive procedure. Specific measurements must be obtained in order to establish the most correct approach and choose the appropriate TAVI device. For these purposes, CT is the most reliable imaging tool, which provides precise information for the careful pre-assessment and planning of the procedure.

    Based on the consensus document’s recommendations, Prof. Loewe describes in detail the advantages of CT use prior to TAVI, supported by suggestive infographics.