Computed tomography assessment for transcatheter aortic valve in valve implantation: the vancouver approach to predict anatomical risk for coronary obstruction and other considerations

Philipp Blanke, Jeanette Soon, Danny Dvir, Jong K. Park, Christopher Naoum, Shaw Hua Kueh, David A. Wood, Bjarne L. Norgaard, Kapilan Selvakumar, Jian Ye, Anson Cheung, John G. Webb, Jonathon Leipsic*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

44 Citations (Scopus)

Abstract

Valve-in-valve implantation of a transcatheter heart valve into a failed bioprosthetic heart valve has emerged as a treatment alternative to repeat conventional surgery. This requires careful pre-procedural assessment using non-invasive imaging to identify patients at risk for procedure related adverse events, such as ostial coronary occlusion. Herein we report how to comprehensively assess aortic root anatomy using computed tomography prior to transcatheter valve implantation for failed bioprosthetic aortic valves.

Original languageEnglish
Pages (from-to)491-499
Number of pages9
JournalJournal of Cardiovascular Computed Tomography
Volume10
Issue number6
DOIs
Publication statusPublished - 1 Nov 2016
Externally publishedYes

Keywords

  • Aortic stenosis
  • Bioprosthetic valve
  • Computed tomography
  • TAVR
  • Valve in valve

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