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Related Experiment Video

Updated: Jun 12, 2026

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Published on: June 3, 2018

Pre-operative aortic valve implantation evaluation: multimodality imaging.

Victoria Delgado¹, Joanne D Schuijf, Jeroen J Bax

¹Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands. v.delgado@lumc.nl

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology

|June 15, 2010

Summary

Transcatheter aortic valve implantation (TAVI) offers a vital alternative for high-risk patients with severe aortic stenosis. Accurate preprocedural multimodality imaging is essential for successful TAVI outcomes and complication avoidance.

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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

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Published on: October 16, 2021

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Last Updated: Jun 12, 2026

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Published on: June 3, 2018

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

Area of Science:

Cardiovascular Medicine
Interventional Cardiology
Medical Imaging

Background:

Transcatheter aortic valve implantation (TAVI) has emerged as a significant therapeutic advancement for severe symptomatic aortic stenosis in high-risk patients.
Over 10,000 patients have been treated with TAVI, demonstrating promising outcomes via transarterial or transapical approaches.
Optimizing TAVI success and minimizing complications hinges on precise preprocedural patient evaluation.

Purpose of the Study:

To review the critical role of multimodality imaging in the preprocedural assessment of TAVI candidates.
To provide a practical guide for evaluating patients considered for TAVI procedures.
To highlight imaging's importance in selecting appropriate prosthesis size and procedural approach.

Main Methods:

Utilizing a combination of 2D and 3D echocardiography.
Employing multi-detector row computed tomography (MDCT) or magnetic resonance imaging (MRI).
Integrating imaging data to assess aortic stenosis severity, valve anatomy, annular dimensions, and vascular access routes.

Main Results:

Multimodality imaging provides comprehensive data crucial for TAVI planning.
Accurate assessment of aortic valve annulus and peripheral vasculature guides prosthesis selection and approach.
Informed decisions based on imaging reduce procedural risks and improve patient outcomes.

Conclusions:

Multimodality imaging is indispensable for successful TAVI candidate selection and procedural planning.
A combined imaging approach ensures accurate anatomical and pathological assessment.
This comprehensive evaluation strategy is key to maximizing TAVI efficacy and patient safety.