Cardiac Computed Tomography in Structural Heart Interventions: From Preprocedural Planning to Procedural Strategy

Area of Science:

• Cardiology
• Medical Imaging
• Interventional Cardiology

Background:

• Cardiac computed tomography (CT) is crucial for structural cardiac interventions.
• It provides high-resolution anatomical and functional assessments.
• Its role extends from pre-procedural planning to post-procedural follow-up.

Purpose of the Study:

• To review the current applications, benefits, and limitations of cardiac CT in structural heart interventions.
• To discuss the future perspectives of cardiac CT in this field.

Main Methods:

• Review of current literature on cardiac CT in structural heart interventions.
• Discussion of specific procedures like TAVI, LAAO, ASD, and PVL closures.
• Exploration of emerging technologies such as AI-driven CT analysis and 4D cardiac CT.

Main Results:

• Cardiac CT offers superior spatial resolution and precise anatomical characterization compared to traditional methods.
• It leads to improved procedural success rates and complication reduction.
• AI, perfusion imaging, and 4D CT are expanding cardiac CT applications.

Conclusions:

• Cardiac CT is an indispensable tool in modern structural heart interventions.
• Ongoing technological advancements promise to further enhance its utility and expand its applications.