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Preoperative TAVR Planning: How to Do It.

Rodrigo Petersen Saadi1, Ana Paula Tagliari1,2, Eduardo Keller Saadi1,2,3

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Transcatheter aortic valve replacement (TAVR) planning is crucial for successful outcomes. This review details essential steps, including imaging techniques like MDCT, 3D echo, and MRI, for optimal patient preparation.

Keywords:
3D echocardiographyMDCTMRITAVRplanningsizing

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Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Imaging

Background:

  • Severe symptomatic aortic stenosis (AS) requires effective treatment.
  • Transcatheter aortic valve replacement (TAVR) offers improving efficacy and safety.
  • Preprocedural planning is essential for successful TAVR outcomes.

Purpose of the Study:

  • To provide a comprehensive review of preoperative planning for TAVR.
  • To outline the standard steps for effective TAVR preparation.
  • To discuss the role of various imaging modalities in TAVR planning.

Main Methods:

  • Review of current literature and guidelines on TAVR planning.
  • Focus on multi-detector computed angiotomography (MDCT) as the gold standard.
  • Discussion of alternative imaging techniques like 3D echocardiography and MRI.

Main Results:

  • Accurate aortic valve annulus measurements are critical.
  • Appropriate transcatheter heart valve selection is mandatory.
  • Anticipation of potential procedural complications enhances safety.

Conclusions:

  • Thorough preoperative planning significantly impacts TAVR success.
  • MDCT remains the primary imaging modality for TAVR planning.
  • 3D echocardiography and MRI serve as valuable alternatives in specific patient populations.