Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart Disease

<b>Background:</b> Over the past decade, several trials and observational studies have validated the use of minimally invasive cardiac interventions as viable treatment options for various cardiac diseases. Transcatheter techniques for severe aortic valve stenosis have rapidly emerged as...

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Main Authors: Rodrigo Salgado, Farah Cadour, Riccardo Cau, Luca Saba
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/1/97
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author Rodrigo Salgado
Farah Cadour
Riccardo Cau
Luca Saba
author_facet Rodrigo Salgado
Farah Cadour
Riccardo Cau
Luca Saba
author_sort Rodrigo Salgado
collection DOAJ
description <b>Background:</b> Over the past decade, several trials and observational studies have validated the use of minimally invasive cardiac interventions as viable treatment options for various cardiac diseases. Transcatheter techniques for severe aortic valve stenosis have rapidly emerged as alternatives to surgical aortic valve replacement in certain patient populations. Additionally, non-surgical treatment options have expanded for conditions affecting other cardiac valves, such as the mitral valve. These emerging minimally invasive interventions complement already well-established endovascular techniques for, among others, atrial septal defect closure, left atrial appendage occlusion and pulmonary vein isolation in patients with atrial fibrillation. Given their non-surgical nature and lack of direct visualisation of the targeted anatomy, these procedures heavily rely on precise pre-procedural radiological imaging for optimal patient selection and procedural success. <b>Method:</b> This paper is based on the expert opinion of the authors and an exhaustive literature research. <b>Results:</b> This manuscript reviews the most commonly employed minimally invasive cardiac interventions, highlighting the essential pre-procedural imaging information and key aspects that must be included in radiological reports to mitigate potential complications. <b>Conclusion:</b> Accurate pre-procedural imaging is crucial for ensuring safe and effective minimally invasive cardiac interventions, underscoring the importance of the radiologist in the pre-procedural work-up of these patients.
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spelling doaj-art-2e54e192c2e3422ba4bb2ab25ee113812025-01-10T13:16:43ZengMDPI AGDiagnostics2075-44182025-01-011519710.3390/diagnostics15010097Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart DiseaseRodrigo Salgado0Farah Cadour1Riccardo Cau2Luca Saba3Department of Radiology, Antwerp University Hospital, Drie Eikenstraat 655, 2650 Edegem, BelgiumDepartment of Medical Imaging, University of Toronto-University Medical Imaging Toronto, UHN, 585 University Ave, Toronto, ON M5G 2N2, CanadaDepartment of Radiology, Azienda Ospedaliero Universitaria, University of Cagliari, 09124 Cagliari, ItalyDepartment of Radiology, Azienda Ospedaliero Universitaria, University of Cagliari, 09124 Cagliari, Italy<b>Background:</b> Over the past decade, several trials and observational studies have validated the use of minimally invasive cardiac interventions as viable treatment options for various cardiac diseases. Transcatheter techniques for severe aortic valve stenosis have rapidly emerged as alternatives to surgical aortic valve replacement in certain patient populations. Additionally, non-surgical treatment options have expanded for conditions affecting other cardiac valves, such as the mitral valve. These emerging minimally invasive interventions complement already well-established endovascular techniques for, among others, atrial septal defect closure, left atrial appendage occlusion and pulmonary vein isolation in patients with atrial fibrillation. Given their non-surgical nature and lack of direct visualisation of the targeted anatomy, these procedures heavily rely on precise pre-procedural radiological imaging for optimal patient selection and procedural success. <b>Method:</b> This paper is based on the expert opinion of the authors and an exhaustive literature research. <b>Results:</b> This manuscript reviews the most commonly employed minimally invasive cardiac interventions, highlighting the essential pre-procedural imaging information and key aspects that must be included in radiological reports to mitigate potential complications. <b>Conclusion:</b> Accurate pre-procedural imaging is crucial for ensuring safe and effective minimally invasive cardiac interventions, underscoring the importance of the radiologist in the pre-procedural work-up of these patients.https://www.mdpi.com/2075-4418/15/1/97TAVRTAVIpulmonary vein ablationCTtranscatheteratrial septal defect
spellingShingle Rodrigo Salgado
Farah Cadour
Riccardo Cau
Luca Saba
Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart Disease
Diagnostics
TAVR
TAVI
pulmonary vein ablation
CT
transcatheter
atrial septal defect
title Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart Disease
title_full Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart Disease
title_fullStr Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart Disease
title_full_unstemmed Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart Disease
title_short Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart Disease
title_sort current status of ct imaging before common transcatheter interventions for structural heart disease
topic TAVR
TAVI
pulmonary vein ablation
CT
transcatheter
atrial septal defect
url https://www.mdpi.com/2075-4418/15/1/97
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AT farahcadour currentstatusofctimagingbeforecommontranscatheterinterventionsforstructuralheartdisease
AT riccardocau currentstatusofctimagingbeforecommontranscatheterinterventionsforstructuralheartdisease
AT lucasaba currentstatusofctimagingbeforecommontranscatheterinterventionsforstructuralheartdisease