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Updated: Jun 3, 2025

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
Published on: June 3, 2018
Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart Disease
Rodrigo Salgado1,2,3, Farah Cadour4, Riccardo Cau5
1Department of Radiology, Antwerp University Hospital, Drie Eikenstraat 655, 2650 Edegem, Belgium.
Accurate radiological imaging is vital for the success of minimally invasive cardiac interventions. Radiologists play a key role in pre-procedural imaging for patient selection and mitigating complications in these non-surgical procedures.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Minimally invasive cardiac interventions are increasingly used for various heart conditions.
- Transcatheter aortic valve replacement and other non-surgical valve repair techniques are emerging alternatives.
- Endovascular techniques are established for atrial septal defect closure, left atrial appendage occlusion, and pulmonary vein isolation.
Purpose of the Study:
- To review common minimally invasive cardiac interventions.
- To highlight essential pre-procedural imaging information.
- To define key aspects for radiological reports to prevent complications.
Main Methods:
- Expert opinion of the authors.
- Exhaustive literature research.
Main Results:
- Minimally invasive cardiac interventions rely heavily on precise pre-procedural radiological imaging.
- Specific imaging information is crucial for patient selection and procedural success.
- Radiological reports must detail key aspects to mitigate potential complications.
Conclusions:
- Accurate pre-procedural imaging is essential for safe and effective minimally invasive cardiac interventions.
- Radiologists are integral to the pre-procedural work-up of patients undergoing these procedures.
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