The importance of MDCT in the evaluation of risk factors before the TAVI procedure and its complications after implantation

A. Aranaz Murillo , M.C. Ferrer Gracia , I. Dieste Grañena , M.E. Guillén Subirán
{"title":"The importance of MDCT in the evaluation of risk factors before the TAVI procedure and its complications after implantation","authors":"A. Aranaz Murillo ,&nbsp;M.C. Ferrer Gracia ,&nbsp;I. Dieste Grañena ,&nbsp;M.E. Guillén Subirán","doi":"10.1016/j.rxeng.2023.05.010","DOIUrl":null,"url":null,"abstract":"<div><p>Transcatheter aortic valve implantation (TAVI) is the alternative to surgical valve replacement, expanding its indications in the latest guidelines. Multimodal CT (MDCT) is essential in patient selection and detection of complications. Vascular complications are frequent, so it is important to analyse the anatomy of the vessels before the procedure. Regarding annular ruptures and ventricular perforations, the volume and distribution of calcium and the ventricular diameter play an important role. Finally, valve migration is a rare complication that can occur both during and after TAVI. Proper planning of the MDCT procedure reduces the risk of complications and gives the interventional cardiologist security both before and during the procedure.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2173510724000922","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Transcatheter aortic valve implantation (TAVI) is the alternative to surgical valve replacement, expanding its indications in the latest guidelines. Multimodal CT (MDCT) is essential in patient selection and detection of complications. Vascular complications are frequent, so it is important to analyse the anatomy of the vessels before the procedure. Regarding annular ruptures and ventricular perforations, the volume and distribution of calcium and the ventricular diameter play an important role. Finally, valve migration is a rare complication that can occur both during and after TAVI. Proper planning of the MDCT procedure reduces the risk of complications and gives the interventional cardiologist security both before and during the procedure.

MDCT 在评估 TAVI 术前风险因素和植入术后并发症方面的重要性
经导管主动脉瓣植入术(TAVI)是外科瓣膜置换术的替代方案,最新指南扩大了其适应症。多模态 CT(MDCT)对患者选择和并发症检测至关重要。血管并发症很常见,因此在术前分析血管的解剖结构非常重要。关于瓣环破裂和心室穿孔,钙的体积和分布以及心室直径起着重要作用。最后,瓣膜移位是一种罕见的并发症,在 TAVI 术中和术后都可能发生。正确规划 MDCT 手术可降低并发症的风险,并为介入心脏病专家在术前和术后提供安全保障。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信