Current Cardiology Reports

, 18:21 | Cite as

Role of Cardiac CT Before Transcatheter Aortic Valve Implantation (TAVI)

  • Mohamed MarwanEmail author
  • Stephan Achenbach
Cardiac PET, CT, and MRI (SE Petersen and F Pugliese, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Cardiac PET, CT, and MRI


Catheter-based aortic valve implantation is increasingly being performed in high-risk patients with symptomatic aortic valve stenosis. For successful planning of the procedure, CT has been shown to provide crucial information concerning the aortic root as well as the peripheral access vessels. This article illustrates the increasing role of CT before transcatheter aortic valve implantation.




Compliance with Ethical Standards

Conflict of Interest

Mohamed Marwan receives speaker honoraria from Edwards Lifesciences.

Stephan Achenbach declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: •Of importance ••Of major importance

  1. 1.•
    Wuest W, Anders K, Schuhbaeck A, et al. Dual source multidetector CT-angiography before transcatheter aortic valve implantation (TAVI) using a high-pitch spiral acquisition mode. Eur Radiol. 2012;22(1):51–8. This study provides a practical acquisition protocol for pre-TAVI imaging. CrossRefPubMedGoogle Scholar
  2. 2.
    Willson AB, Webb JG, Labounty TM, et al. 3-dimensional aortic annular assessment by multidetector computed tomography predicts moderate or severe paravalvular regurgitation after transcatheter aortic valve replacement: a multicenter retrospective analysis. J Am Coll Cardiol. 2012;59:1287–94.CrossRefPubMedGoogle Scholar
  3. 3.
    Blanke P, Reinöhl J, Schlensak C, et al. Prosthesis oversizing in balloon-expandable transcatheter aortic valve implantation is associated with contained rupture of the aortic root. Circ Cardiovasc Interv. 2012;5(4):540–8.CrossRefPubMedGoogle Scholar
  4. 4.
    Murphy DT, Blanke P, Alaamri S, et al. Dynamism of the aortic annulus: effect of diastolic versus systolic CT annular measurements on device selection in transcatheter aortic valve replacement (TAVR). J Cardiovasc Comput Tomogr. 2015 Jul 26.Google Scholar
  5. 5.••
    Achenbach S, Delgado V, Hausleiter J, et al. SCCT expert consensus document on computed tomography imaging before transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR). J Cardiovasc Comput Tomogr. 2012;6(6):366–80. This document provides detailed information about the importance of CT for pre-TAVI imaging. CrossRefPubMedGoogle Scholar
  6. 6.
    Toggweiler S, Gurvitch R, Leipsic J, et al. Percutaneous aortic valve replacement: vascular outcomes with a fully percutaneous procedure. J Am Coll Cardiol. 2012;59(2):113–8.CrossRefPubMedGoogle Scholar
  7. 7.
    Hayashida K, Lefevre T, Chevalier B, et al. Transfemoral aortic valve implantation new criteria to predict vascular complications. J Am Coll Cardiol Intv. 2011;4(8):851–8.CrossRefGoogle Scholar
  8. 8.
    Arnold M, Achenbach S, Pfeiffer I, et al. A method to determine suitable fluoroscopic projections for transcatheter aortic valve implantation by computed tomography. J Cardiovasc Comput Tomogr. 2012;6(6):422–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Jilaihawi H, Kashif M, Fontana G, et al. Cross-sectional computed tomographic assessment improves accuracy of aortic annular sizing for transcatheter aortic valve replacement and reduces the incidence of paravalvular aortic regurgitation. J Am Coll Cardiol. 2012;59:1275–86.CrossRefPubMedGoogle Scholar
  10. 10.
    Binder RK, Webb JG, Willson AB, et al. The impact of integration of a multidetector computed tomography annulus area sizing algorithm on outcomes of transcatheter aortic valve replacement: a prospective, multicenter, controlled trial. J Am Coll Cardiol. 2013;62(5):431–8.CrossRefPubMedGoogle Scholar
  11. 11.••
    Barbanti M, Yang TH, Rodès Cabau J, et al. Anatomical and procedural features associated with aortic root rupture during balloon-expandable transcatheter aortic valve replacement. Circulation. 2013;128(3):244–53. This study provides important information about risk factors for potential life-threatening complications in TAVI patients. CrossRefPubMedGoogle Scholar
  12. 12.
    Barbanti M, Leipsic J, Binder R, et al. Underexpansion and ad hoc post-dilation in selected patients undergoing balloon-expandable transcatheter aortic valve replacement. J Am Coll Cardiol. 2014;63(10):976–81.CrossRefPubMedGoogle Scholar
  13. 13.
    Hamdan A, Guetta V, Klempfner R, et al. Inverse relationship between membranous septal length and the risk of atrioventricular block in patients undergoing transcatheter aortic valve implantation. J Am Coll Cardiol Intv. 2015;8(9):1218–28.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Cardiology DepartmentUniversity Hospital ErlangenErlangenGermany

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