Imaging to select and guide transcatheter aortic valve implantation

Eur Heart J. 2014 Jun 21;35(24):1578-87. doi: 10.1093/eurheartj/eht569. Epub 2014 Jan 23.


Transcatheter aortic valve implantation (TAVI) is indicated for patients with severe aortic stenosis and high or prohibitive surgical risk. Patients' selection requires clinical and anatomical selection criteria, being the later determined by multimodality imaging evaluation. Echocardiography, multislice computed tomography (MSCT), angiography, and cardiovascular magnetic resonance (CMR) are the methods available to determine the anatomical suitability for the procedure. Imaging assists in the selection of bioprosthesis type, prosthetic sizing and in the decision of the best vascular access. In this review, we present our critical appraisal on the use of imaging to best patients' selection and procedure guidance in TAVI.

Keywords: Aortic stenosis; Imaging; Transcatheter aortic valve implantation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aortic Valve / pathology
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Stenosis / pathology
  • Aortic Valve Stenosis / surgery*
  • Diagnostic Imaging / methods*
  • Humans
  • Organ Size
  • Patient Selection
  • Postoperative Complications / diagnosis
  • Transcatheter Aortic Valve Replacement / methods*