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Catheter Cardiovasc Interv ; 82(7): E952-8, 2013 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-22926967

RESUMO

Transcatheter aortic valve implantation (TAVI) has now become an acceptable alternative to surgical aortic valve replacement for patients with severe aortic stenosis at high risk. The early enthusiasm for this technology has not diminished but rather has developed at an unprecedented rate over the last decade. Alongside the developments in implantation technique, transcatheter design, and postprocedural care, cardiac imaging modalities have also had to concurrently evolve to meet the perpetual demand for lower peri- and postprocedural complication rates. Although transthoracic and transesophageal echocardiography remain vital in patient's selection and periprocedural guidance, there is now emerging evidence that indicates that multidetector-computed tomography (MDCT) may also have an equally important role to play. The aim of the current review is to examine the modern role of MDCT in assessing patients with aortic stenosis being considered for TAVI.


Assuntos
Estenose da Valva Aórtica/terapia , Valva Aórtica/diagnóstico por imagem , Valva Aórtica/patologia , Calcinose/terapia , Cateterismo Cardíaco , Implante de Prótese de Valva Cardíaca/métodos , Tomografia Computadorizada Multidetectores , Estenose da Valva Aórtica/diagnóstico por imagem , Calcinose/diagnóstico por imagem , Humanos , Seleção de Pacientes , Valor Preditivo dos Testes , Índice de Gravidade de Doença , Resultado do Tratamento
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