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Recommendations in pre-procedural imaging assessment for TAVI intervention: SIC-SIRM position paper part 2 (CT and MR angiography, standard medical reporting, future perspectives)

  • Cardiac radiology
  • Published:
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Abstract

Non-invasive cardiovascular imaging owns a pivotal role in the preoperative assessment of patient candidates for transcatheter aortic valve implantation (TAVI), providing a wide range of crucial information to select the patients who will benefit the most and have the procedure done safely. This document has been developed by a joined group of experts of the Italian Society of Cardiology and the Italian Society of Medical and Interventional Radiology and aims to produce an updated consensus statement about the pre-procedural imaging assessment in candidate patients for TAVI intervention. The writing committee consisted of members and experts of both societies who worked jointly to develop a more integrated approach in the field of cardiac and vascular radiology. Part 2 of the document will cover CT and MR angiography, standard medical reporting, and future perspectives.

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Abbreviations

2D/3D:

Bi-three dimensional

AKI:

Acute kidney injury

ATTR-CA:

Transthyretin cardiac amyloidosis

BAV:

Bicuspid aortic valve

CAD:

Coronary artery disease

CABG:

Coronary artery bypass graft

CM:

Contrast material

CMR:

Cardiac magnetic resonance

CT:

Computed tomography

CTA:

Computed tomography angiography

CCTA:

Coronary computed tomography angiography

ECV:

Extracellular volume

HR:

Heart rate

ICA:

Invasive coronary angiography

LGE:

Late gadolinium enhancement

MR:

Magnetic resonance

LVOT:

Left ventricle outflow tract

SIC:

Italian Society of Cardiology

SIRM:

Italian Society of Medical and Interventional Radiology

SSFP:

Steady-state-free-precession

TAVI:

Transcatheter aortic valve implantation

VIV:

Valve-in-valve

VTC:

Virtual transcatheter aortic valve to coronary distance

VTSTJ:

Valve-to-sinotubular junction distance

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Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

  1. Department of Radiological and Hematological Sciences, Section of Radiology, Università Cattolica del Sacro Cuore, Rome, Italy

    Riccardo Marano

  2. Department of Diagnostic Imaging, Oncological Radiotherapy and Hematology, Diagnostic Imaging Area, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, L.go Agostino Gemelli 8, 00168, Rome, Italy

    Riccardo Marano

  3. Department of Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy

    Gianluca Pontone, Antonio Bartorelli & Marco Guglielmo

  4. Cardiovascular Imaging Unit, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy

    Eustachio Agricola

  5. School of Medicine, Vita-Salute San Raffaele University, Milan, Italy

    Eustachio Agricola

  6. Department of General and Interventional Cardiology, Helios Clinics Erfurt, Berlin, Germany

    Brunilda Alushi

  7. Department of Cardiology, Campus Benjamin Franklin, Charite Universitatsmedizin Berlin, Berlin, Germany

    Brunilda Alushi

  8. German Centre for Cardiovascular Research (DZHK), Berlin Site, Berlin, Germany

    Brunilda Alushi

  9. Division of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, Italy

    Matteo Cameli

  10. Cardiothoracovascular Department, Careggi Hospital, Florence, Italy

    Nazario Carrabba

  11. Department of Radiology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

    Antonio Esposito & Anna Palmisano

  12. Radiology Unit, Department of Surgical Sciences, University of Turin, Turin, Italy

    Riccardo Faletti

  13. Department Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy

    Marco Francone

  14. IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy

    Marco Francone

  15. Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy

    Nicola Galea

  16. Division of Cardiology, Luigi Vanvitelli University (M.C.-B., P.G.), Monaldi Hospital, Naples, Italy

    Paolo Golino

  17. Cardiac Catheterization Laboratory, Cardiothoracic and Vascular Department, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy

    Sonia Petronio

  18. Radiodiagnostica, AOU Mater Domini Università Magna Graecia, Catanzaro, Italy

    Maria Petullà

  19. Department of Emergency Radiology, University Hospital Careggi, Florence, Italy

    Silvia Pradella

  20. Division of Cardiology, Department of Medicine, School of Medicine, University of Verona, Verona, Italy

    Flavio Ribichini

  21. Complex Operative Unit of Cardiology, Policlinico Tor Vergata, Rome, Italy

    Francesco Romeo

  22. Department of System Medicine, University of Rome Tor Vergata, Rome, Italy

    Francesco Romeo

  23. Radiologia Cardiovascolare Diagnostica ed Interventistica, U.O. Radiologia Cardio-Toracica, Polo Cardio-Toraco-Vascolare, Policlinico S.Orsola-Malpighi, Bologna, Italy

    Vincenzo Russo

  24. Cardiac-Thoracic-Vascular and Transplant Department, Azienda Ospedaliero-Universitaria ‘Policlinico-Vittorio Emanuele’, Catania, Italy

    Salvatore Scandura

  25. Department of Radiology, Ospedali Riuniti, Ancona, Italy

    Nicolò Schicchi

  26. Division of Cardiology, Magna Graecia University, Catanzaro, Italy

    Carmen Spaccarotella & Ciro Indolfi

  27. Center for Cardiovascular Research, Magna Graecia University, Catanzaro, Italy

    Carmen Spaccarotella

  28. Department of Cardiovascular Sciences, European Hospital, Rome, Italy

    Fabrizio Tomai

  29. Department of Radiology, Apss of Trento, Trento, Italy

    Maurizio Centonze

Authors
  1. Riccardo Marano
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  2. Gianluca Pontone
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  3. Eustachio Agricola
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  4. Brunilda Alushi
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  5. Antonio Bartorelli
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  6. Matteo Cameli
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  7. Nazario Carrabba
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  8. Antonio Esposito
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  9. Riccardo Faletti
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  10. Marco Francone
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  11. Nicola Galea
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  12. Paolo Golino
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  13. Marco Guglielmo
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  14. Anna Palmisano
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  15. Sonia Petronio
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  16. Maria Petullà
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  17. Silvia Pradella
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  18. Flavio Ribichini
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  19. Francesco Romeo
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  20. Vincenzo Russo
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  21. Salvatore Scandura
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  22. Nicolò Schicchi
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  23. Carmen Spaccarotella
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  24. Fabrizio Tomai
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  25. Ciro Indolfi
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  26. Maurizio Centonze
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Contributions

RM and MC contributed equally to the writing and editing of the final manuscript.

Corresponding author

Correspondence to Riccardo Marano.

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This article contains data extracted from published papers. All procedures were in accordance with the 1964 Helsinki Declaration and its later amendments.

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Marano, R., Pontone, G., Agricola, E. et al. Recommendations in pre-procedural imaging assessment for TAVI intervention: SIC-SIRM position paper part 2 (CT and MR angiography, standard medical reporting, future perspectives). Radiol med 127, 277–293 (2022). https://doi.org/10.1007/s11547-021-01434-9

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