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Erschienen in: Herz 6/2017

12.06.2017 | Main topic

Imaging for planning of transcatheter aortic valve implantation

verfasst von: H. A. Hildebrandt, A. A. Mahabadi, M. Totzeck, R. A. Jánosi, A. Y. Lind, T. Rassaf, Univ.-Prof. Dr. med. P. Kahlert

Erschienen in: Herz | Ausgabe 6/2017

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Abstract

Transcatheter aortic valve implantation (TAVI) has proven to be the standard of care for patients with prohibitive and high operative risk; today, it is considered a reasonable alternative to surgical aortic valve replacement in intermediate-risk patients. As indications for TAVI move toward patients at lower risk, safety aspects are becoming even more important. Furthermore, adequate patient selection is key for predictable procedural success with minimal complications, translating into an optimal clinical outcome. Decisions on valve type and size as well as on the access route are based on multimodality imaging including echocardiography, multislice computed tomography, and cardiac catheterization with peripheral angiography. This combination of multiple imaging modalities provides the best picture of a patient’s anatomical and physiological suitability for the TAVI procedure. Yet, the reliability of preprocedural imaging is influenced by the quality of the images, which should be as high as possible, and both image acquisition and interpretation should be performed in a standardized manner. This article provides a concise overview of standardized multimodality imaging for the preprocedural planning and assessment of patients undergoing TAVI.
Literatur
1.
Zurück zum Zitat Leon MB, Smith CR, Mack MJ et al (2016) Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med 374:1609–1620CrossRefPubMed Leon MB, Smith CR, Mack MJ et al (2016) Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med 374:1609–1620CrossRefPubMed
2.
Zurück zum Zitat Nishimura RA, Otto CM, Bonow RO et al (2017) 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. J Am Coll Cardiol. doi:10.1016/j.jacc.2017.03.011 Nishimura RA, Otto CM, Bonow RO et al (2017) 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. J Am Coll Cardiol. doi:10.​1016/​j.​jacc.​2017.​03.​011
3.
Zurück zum Zitat Thourani VH, Kodali S, Makkar RR et al (2016) Transcatheter aortic valve replacement versus surgical valve replacement in intermediate-risk patients: a propensity score analysis. Lancet 387:2218–2225CrossRefPubMed Thourani VH, Kodali S, Makkar RR et al (2016) Transcatheter aortic valve replacement versus surgical valve replacement in intermediate-risk patients: a propensity score analysis. Lancet 387:2218–2225CrossRefPubMed
4.
Zurück zum Zitat Piazza N, de Jaegere P, Schultz C et al (2008) Anatomy of the aortic valvar complex and its implications for transcatheter implantation of the aortic valve. Circ Cardiovasc Interv 1:74–81CrossRefPubMed Piazza N, de Jaegere P, Schultz C et al (2008) Anatomy of the aortic valvar complex and its implications for transcatheter implantation of the aortic valve. Circ Cardiovasc Interv 1:74–81CrossRefPubMed
5.
Zurück zum Zitat Binder RK, Webb JG, Willson AB et al (2013) The impact of integration of a multidetector computed tomography annulus area sizing algorithm on outcomes of transcatheter aortic valve replacement: a prospective, multicenter, controlled trial. J Am Coll Cardiol 62:431–438CrossRefPubMed Binder RK, Webb JG, Willson AB et al (2013) The impact of integration of a multidetector computed tomography annulus area sizing algorithm on outcomes of transcatheter aortic valve replacement: a prospective, multicenter, controlled trial. J Am Coll Cardiol 62:431–438CrossRefPubMed
6.
7.
Zurück zum Zitat Baumgartner H, Hung J, Bermejo J et al (2017) Recommendations on the echocardiographic assessment of aortic valve stenosis: a focused update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. Eur Heart J Cardiovasc Imaging 18:254–275 Baumgartner H, Hung J, Bermejo J et al (2017) Recommendations on the echocardiographic assessment of aortic valve stenosis: a focused update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. Eur Heart J Cardiovasc Imaging 18:254–275
8.
Zurück zum Zitat Bonow RO, Carabello BA, Chatterjee K et al (2008) 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 52:e1–e142CrossRefPubMed Bonow RO, Carabello BA, Chatterjee K et al (2008) 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 52:e1–e142CrossRefPubMed
9.
Zurück zum Zitat Vahanian A, Baumgartner H, Bax J et al (2007) Guidelines on the management of valvular heart disease: the task force on the management of valvular heart disease of the European society of Cardiology. Eur Heart J 28:230–268PubMed Vahanian A, Baumgartner H, Bax J et al (2007) Guidelines on the management of valvular heart disease: the task force on the management of valvular heart disease of the European society of Cardiology. Eur Heart J 28:230–268PubMed
10.
Zurück zum Zitat Minners J, Allgeier M, Gohlke-Baerwolf C et al (2008) Inconsistencies of echocardiographic criteria for the grading of aortic valve stenosis. Eur Heart J 29:1043–1048CrossRefPubMed Minners J, Allgeier M, Gohlke-Baerwolf C et al (2008) Inconsistencies of echocardiographic criteria for the grading of aortic valve stenosis. Eur Heart J 29:1043–1048CrossRefPubMed
11.
Zurück zum Zitat Mehrotra P, Flynn AW, Jansen K et al (2015) Differential left ventricular outflow tract remodeling and dynamics in aortic stenosis. J Am Soc Echocardiogr 28:1259–1266CrossRefPubMed Mehrotra P, Flynn AW, Jansen K et al (2015) Differential left ventricular outflow tract remodeling and dynamics in aortic stenosis. J Am Soc Echocardiogr 28:1259–1266CrossRefPubMed
12.
Zurück zum Zitat Clavel MA, Pibarot P (2014) Assessment of low-flow, low-gradient aortic stenosis: multimodality imaging is the key to success. EuroIntervention 10(Suppl U):U52–U60CrossRefPubMed Clavel MA, Pibarot P (2014) Assessment of low-flow, low-gradient aortic stenosis: multimodality imaging is the key to success. EuroIntervention 10(Suppl U):U52–U60CrossRefPubMed
13.
Zurück zum Zitat Clavel MA, Burwash IG, Pibarot P (2017) Cardiac imaging for assessing low-gradient severe aortic stenosis. JACC Cardiovasc Imaging 10:185–202CrossRefPubMed Clavel MA, Burwash IG, Pibarot P (2017) Cardiac imaging for assessing low-gradient severe aortic stenosis. JACC Cardiovasc Imaging 10:185–202CrossRefPubMed
15.
Zurück zum Zitat Otto CM, Kumbhani DJ, Alexander KP et al (2017) 2017 ACC expert consensus decision pathway for transcatheter aortic valve replacement in the management of adults with aortic stenosis: a report of the American College of Cardiology task force on clinical expert consensus documents. J Am Coll Cardiol 69:1313–1346CrossRefPubMed Otto CM, Kumbhani DJ, Alexander KP et al (2017) 2017 ACC expert consensus decision pathway for transcatheter aortic valve replacement in the management of adults with aortic stenosis: a report of the American College of Cardiology task force on clinical expert consensus documents. J Am Coll Cardiol 69:1313–1346CrossRefPubMed
16.
Zurück zum Zitat Zamorano JL, Badano LP, Bruce C et al (2011) EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. Eur Heart J 32:2189–2214CrossRefPubMed Zamorano JL, Badano LP, Bruce C et al (2011) EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. Eur Heart J 32:2189–2214CrossRefPubMed
17.
Zurück zum Zitat Gerckens U, Pizzulli L, Raisakis K (2013) Alcohol septal ablation as a bail-out procedure for suicide left ventricle after transcatheter aortic valve implantation. J Invasive Cardiol 25:E114–E117PubMed Gerckens U, Pizzulli L, Raisakis K (2013) Alcohol septal ablation as a bail-out procedure for suicide left ventricle after transcatheter aortic valve implantation. J Invasive Cardiol 25:E114–E117PubMed
18.
Zurück zum Zitat Santos N, de Agustín JA, Almería C et al (2012) Prosthesis/annulus discongruence assessed by three-dimensional transoesophageal echocardiography: a predictor of significant paravalvular aortic regurgitation after transcatheter aortic valve implantation. Eur Heart J Cardiovasc Imaging 13:931–937CrossRefPubMed Santos N, de Agustín JA, Almería C et al (2012) Prosthesis/annulus discongruence assessed by three-dimensional transoesophageal echocardiography: a predictor of significant paravalvular aortic regurgitation after transcatheter aortic valve implantation. Eur Heart J Cardiovasc Imaging 13:931–937CrossRefPubMed
19.
Zurück zum Zitat Jánosi RA, Plicht B, Kahlert P et al (2014) Quantitative analysis of aortic valve stenosis and aortic root dimensions by three-dimensional echocardiography in patients scheduled for transcutaneous aortic valve implantation. Curr Cardiovasc Imaging Rep 7:9296CrossRefPubMedPubMedCentral Jánosi RA, Plicht B, Kahlert P et al (2014) Quantitative analysis of aortic valve stenosis and aortic root dimensions by three-dimensional echocardiography in patients scheduled for transcutaneous aortic valve implantation. Curr Cardiovasc Imaging Rep 7:9296CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Schlosser T, Malyar N, Jochims M et al (2007) Quantification of aortic valve stenosis in MRI-comparison of steady-state free precession and fast low-angle shot sequences. Eur Radiol 17:1284–1290CrossRefPubMed Schlosser T, Malyar N, Jochims M et al (2007) Quantification of aortic valve stenosis in MRI-comparison of steady-state free precession and fast low-angle shot sequences. Eur Radiol 17:1284–1290CrossRefPubMed
21.
Zurück zum Zitat Jabbour A, Ismail TF, Moat N et al (2011) Multimodality imaging in transcatheter aortic valve implantation and post-procedural aortic regurgitation: comparison among cardiovascular magnetic resonance, cardiac computed tomography, and echocardiography. J Am Coll Cardiol 58:2165–2173CrossRefPubMed Jabbour A, Ismail TF, Moat N et al (2011) Multimodality imaging in transcatheter aortic valve implantation and post-procedural aortic regurgitation: comparison among cardiovascular magnetic resonance, cardiac computed tomography, and echocardiography. J Am Coll Cardiol 58:2165–2173CrossRefPubMed
22.
Zurück zum Zitat Blanke P, Reinöhl J, Schlensak C et al (2012) Prosthesis oversizing in balloon-expandable transcatheter aortic valve implantation is associated with contained rupture of the aortic root. Circ Cardiovasc Interv 5:540–548CrossRefPubMed Blanke P, Reinöhl J, Schlensak C et al (2012) Prosthesis oversizing in balloon-expandable transcatheter aortic valve implantation is associated with contained rupture of the aortic root. Circ Cardiovasc Interv 5:540–548CrossRefPubMed
23.
Zurück zum Zitat Nietlispach F, Leipsic J, Al-Bugami S et al (2009) CT of the ilio-femoral arteries using direct aortic contrast injection: proof of feasibility in patients screened towards percutaneous aortic valve replacement. Swiss Med Wkly 139:458–462PubMed Nietlispach F, Leipsic J, Al-Bugami S et al (2009) CT of the ilio-femoral arteries using direct aortic contrast injection: proof of feasibility in patients screened towards percutaneous aortic valve replacement. Swiss Med Wkly 139:458–462PubMed
24.
Zurück zum Zitat Arnold M, Achenbach S, Pfeiffer I et al (2012) A method to determine suitable fluoroscopic projections for transcatheter aortic valve implantation by computed tomography. J Cardiovasc Comput Tomogr 6:422–428CrossRefPubMed Arnold M, Achenbach S, Pfeiffer I et al (2012) A method to determine suitable fluoroscopic projections for transcatheter aortic valve implantation by computed tomography. J Cardiovasc Comput Tomogr 6:422–428CrossRefPubMed
25.
Zurück zum Zitat Eltchaninoff H, Kerkeni M, Zajarias A et al (2009) Aorto-iliac angiography as a screening tool in selecting patients for transfemoral aortic valve implantation with the Edwards SAPIEN bioprosthesis. EuroIntervention 5:438–442CrossRefPubMed Eltchaninoff H, Kerkeni M, Zajarias A et al (2009) Aorto-iliac angiography as a screening tool in selecting patients for transfemoral aortic valve implantation with the Edwards SAPIEN bioprosthesis. EuroIntervention 5:438–442CrossRefPubMed
26.
Zurück zum Zitat Zaman S, Gooley R, McCormick L et al (2015) Pre-transcatheter aortic valve implantation workup in the cardiac catheterisation laboratory. Heart Lung Circ 24:1162–1170CrossRefPubMed Zaman S, Gooley R, McCormick L et al (2015) Pre-transcatheter aortic valve implantation workup in the cardiac catheterisation laboratory. Heart Lung Circ 24:1162–1170CrossRefPubMed
27.
Zurück zum Zitat Petronio AS, De Carlo M, Bedogni F et al (2010) Safety and efficacy of the subclavian approach for transcatheter aortic valve implantation with the CoreValve revalving system. Circ Cardiovasc Interv 3:359–366CrossRefPubMed Petronio AS, De Carlo M, Bedogni F et al (2010) Safety and efficacy of the subclavian approach for transcatheter aortic valve implantation with the CoreValve revalving system. Circ Cardiovasc Interv 3:359–366CrossRefPubMed
28.
Zurück zum Zitat Kasel AM, Cassese S, Leber AW et al (2013) Fluoroscopy-guided aortic root imaging for TAVR: “follow the right cusp” rule [letter]. JACC Cardiovasc Imaging 6(2):274–275CrossRefPubMed Kasel AM, Cassese S, Leber AW et al (2013) Fluoroscopy-guided aortic root imaging for TAVR: “follow the right cusp” rule [letter]. JACC Cardiovasc Imaging 6(2):274–275CrossRefPubMed
29.
Zurück zum Zitat Meyhöfer J, Ahrens J, Neuss M et al (2012) Rotational angiography for preinterventional imaging in transcatheter aortic valve implantation. Catheter Cardiovasc Interv 79:756–765CrossRef Meyhöfer J, Ahrens J, Neuss M et al (2012) Rotational angiography for preinterventional imaging in transcatheter aortic valve implantation. Catheter Cardiovasc Interv 79:756–765CrossRef
30.
Zurück zum Zitat Patsalis PC, Al-Rashid F, Neumann T et al (2013) Preparatory balloon aortic valvuloplasty during transcatheter aortic valve implantation for improved valve sizing. JACC Cardiovasc Interv 6:965–971CrossRefPubMed Patsalis PC, Al-Rashid F, Neumann T et al (2013) Preparatory balloon aortic valvuloplasty during transcatheter aortic valve implantation for improved valve sizing. JACC Cardiovasc Interv 6:965–971CrossRefPubMed
Metadaten
Titel
Imaging for planning of transcatheter aortic valve implantation
verfasst von
H. A. Hildebrandt
A. A. Mahabadi
M. Totzeck
R. A. Jánosi
A. Y. Lind
T. Rassaf
Univ.-Prof. Dr. med. P. Kahlert
Publikationsdatum
12.06.2017
Verlag
Springer Medizin
Erschienen in
Herz / Ausgabe 6/2017
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-017-4587-9

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