CT and MR imaging prior to transcatheter aortic valve implantation: standardisation of scanning protocols, measurements and reporting-a consensus document by the European Society of Cardiovascular Radiology (ESCR) - Sorbonne Université Accéder directement au contenu
Article Dans Une Revue European Radiology Année : 2019

CT and MR imaging prior to transcatheter aortic valve implantation: standardisation of scanning protocols, measurements and reporting-a consensus document by the European Society of Cardiovascular Radiology (ESCR)

Résumé

Transcatheter aortic valve replacement (TAVR) is a minimally invasive alternative to conventional aortic valve replacement in symptomatic patients with severe aortic stenosis and contraindications to surgery. The procedure has shown to improve patient’s quality of life and prolong short- and mid-term survival in high-risk individuals, becoming a widely accepted therapeutic option which has been integrated into current clinical guidelines for the management of valvular heart disease. Nevertheless, not every patient at high-risk for surgery is a good candidate for TAVR. Besides clinical selection, which is usually established by the Heart Team, certain technical and anatomic criteria must be met as, unlike in surgical valve replacement, annular sizing is not performed under direct surgical evaluation but on the basis of non-invasive imaging findings. Present consensus document was outlined by a working group of researchers from the European Society of Cardiovascular Radiology (ESCR) and aims to provide guidance on the utilisation of CT and MR imaging prior to TAVR. Particular relevance is given to the technical requirements and standardisation of the scanning protocols which have to be tailored to the remarkable variability of the scanners currently utilised in clinical practice; recommendations regarding all required pre-procedural measurements and medical reporting standardisation have been also outlined, in order to ensure quality and consistency of reported data and terminology.
Fichier principal
Vignette du fichier
Francone2019_Article_CTAndMRImagingPriorToTranscath.pdf (8.59 Mo) Télécharger le fichier
Origine Publication financée par une institution
Loading...

Dates et versions

hal-02284097 , version 1 (11-09-2019)

Identifiants

Citer

Marco Francone, Ricardo P J Budde, Jens Bremerich, Jean Nicolas Dacher, Christian Loewe, et al.. CT and MR imaging prior to transcatheter aortic valve implantation: standardisation of scanning protocols, measurements and reporting-a consensus document by the European Society of Cardiovascular Radiology (ESCR). European Radiology, In press, ⟨10.1007/s00330-019-06357-8⟩. ⟨hal-02284097⟩
225 Consultations
65 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More