Skip to main content
SpringerLink
Log in
Book cover

Intraprocedural Imaging of Cardiovascular Interventions pp 59–82Cite as

Transcatheter Aortic Valve Replacement

  • Chapter
  • First Online:

  • 621 Accesses

Abstract

Symptomatic severe aortic stenosis portends a dismal prognosis without replacement of the aortic valve. For nearly half of a century, surgical aortic valve replacement (SAVR) was the mainstay of therapy. Transcatheter aortic valve replacement (TAVR) has more recently established itself as a highly-effective treatment for patients with symptomatic severe aortic stenosis. Currently indicated for patients who are at high or extreme risk for death or major morbidity with surgical aortic valve replacement, TAVR is likely to become a therapeutic option for intermediate and low surgical risk patients as well. Cardiac imaging plays a central role in achieving success with TAVR and is critical in pre-procedural evaluation, intra-procedural guidance, and post-procedural assessment.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.

    Article  CAS  PubMed  Google Scholar 

  2. Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364:2187–98.

    Article  CAS  PubMed  Google Scholar 

  3. Adams DH, Popma JJ, Reardon MJ, et al. Transcatheter aortic-valve replacement with a self-expanding prosthesis. N Engl J Med. 2014;370:1790–8.

    Article  CAS  PubMed  Google Scholar 

  4. Popma JJ, Adams DH, Reardon MJ, et al. Transcatheter aortic valve replacement using a self-expanding bioprosthesis in patients with severe aortic stenosis at extreme risk for surgery. J Am Coll Cardiol. 2014;63:1972–81.

    Article  PubMed  Google Scholar 

  5. Holmes Jr DR, Mack MJ, Kaul S, et al. ACCF/AATS/SCAI/STS expert consensus document on transcatheter aortic valve replacement. J Am Coll Cardiol. 2012;59:1200–54.

    Article  PubMed  Google Scholar 

  6. Nishimura RA, Otto CM, Bonow RO, et al. AHA/ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;63:2438–88.

    Article  PubMed  Google Scholar 

  7. Baumgartner H, Hung J, Bermejo J, et al. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. J Am Soc Echocardiogr. 2009;22:1–23; quiz 101–2.

    Article  PubMed  Google Scholar 

  8. Zoghbi WA, Enriquez-Sarano M, Foster E, et al. Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography. J Am Soc Echocardiogr. 2003;16:777–802.

    Article  PubMed  Google Scholar 

  9. Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26:921–64.

    Article  PubMed  Google Scholar 

  10. Piazza N, de Jaegere P, Schultz C, Becker AE, Serruys PW, Anderson RH. Anatomy of the aortic valvar complex and its implications for transcatheter implantation of the aortic valve. Circ Cardiovasc Interv. 2008;1:74–81.

    Article  PubMed  Google Scholar 

  11. Barbanti M, Yang TH, Rodes Cabau J, et al. Anatomical and procedural features associated with aortic root rupture during balloon-expandable transcatheter aortic valve replacement. Circulation. 2013;128:244–53.

    Article  PubMed  Google Scholar 

  12. Athappan G, Patvardhan E, Tuzcu EM, et al. Incidence, predictors, and outcomes of aortic regurgitation after transcatheter aortic valve replacement: meta-analysis and systematic review of literature. J Am Coll Cardiol. 2013;61:1585–95.

    Article  PubMed  Google Scholar 

  13. Ribeiro HB, Nombela-Franco L, Urena M, et al. Coronary obstruction following transcatheter aortic valve implantation: a systematic review. JACC Cardiovasc Interv. 2013;6:452–61.

    Article  PubMed  Google Scholar 

  14. Detaint D, Lepage L, Himbert D, et al. Determinants of significant paravalvular regurgitation after transcatheter aortic valve: implantation impact of device and annulus discongruence. JACC Cardiovasc Interv. 2009;2:821–7.

    Article  PubMed  Google Scholar 

  15. Hamdan A, Guetta V, Konen E, et al. Deformation dynamics and mechanical properties of the aortic annulus by 4-dimensional computed tomography: insights into the functional anatomy of the aortic valve complex and implications for transcatheter aortic valve therapy. J Am Coll Cardiol. 2012;59:119–27.

    Article  PubMed  Google Scholar 

  16. Tzikas A, Schultz CJ, Piazza N, et al. Assessment of the aortic annulus by multislice computed tomography, contrast aortography, and trans-thoracic echocardiography in patients referred for transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2011;77:868–75.

    Article  PubMed  Google Scholar 

  17. Koos R, Altiok E, Mahnken AH, et al. Evaluation of aortic root for definition of prosthesis size by magnetic resonance imaging and cardiac computed tomography: implications for transcatheter aortic valve implantation. Int J Cardiol. 2012;158:353–8.

    Article  PubMed  Google Scholar 

  18. Altiok E, Koos R, Schroder J, et al. Comparison of two-dimensional and three-dimensional imaging techniques for measurement of aortic annulus diameters before transcatheter aortic valve implantation. Heart. 2011;97:1578–84.

    Article  PubMed  Google Scholar 

  19. 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.

    Article  PubMed  Google Scholar 

  20. 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.

    Article  PubMed  Google Scholar 

  21. Gurvitch R, Webb JG, Yuan R, et al. Aortic annulus diameter determination by multidetector computed tomography: reproducibility, applicability, and implications for transcatheter aortic valve implantation. JACC Cardiovasc Interv. 2011;4:1235–45.

    Article  PubMed  Google Scholar 

  22. Hahn RT, Khalique O, Williams MR, et al. Predicting paravalvular regurgitation following transcatheter valve replacement: utility of a novel method for three-dimensional echocardiographic measurements of the aortic annulus. J Am Soc Echocardiogr. 2013;26:1043–52.

    Article  PubMed  Google Scholar 

  23. Janosi RA, Kahlert P, Plicht B, et al. Measurement of the aortic annulus size by real-time three-dimensional transesophageal echocardiography. Minim Invasive Ther Allied Technol. 2011;20:85–94.

    Article  PubMed  Google Scholar 

  24. Santos N, de Agustin JA, Almeria C, et al. Prosthesis/annulus discongruence assessed by three-dimensional transoesophageal echocardiography: a predictor of significant paravalvular aortic regurgitation after transcatheter aortic valve implantation. Eur Heart J Cardiovasc Imaging. 2012;13:931–7.

    Article  PubMed  Google Scholar 

  25. Tsang W, Bateman MG, Weinert L, et al. Accuracy of aortic annular measurements obtained from three-dimensional echocardiography, CT and MRI: human in vitro and in vivo studies. Heart. 2012;98:1146–52.

    Article  PubMed  Google Scholar 

  26. Gripari P, Ewe SH, Fusini L, et al. Intraoperative 2D and 3D transoesophageal echocardiographic predictors of aortic regurgitation after transcatheter aortic valve implantation. Heart. 2012;98:1229–36.

    Article  PubMed  Google Scholar 

  27. Smith LA, Dworakowski R, Bhan A, et al. Real-time three-dimensional transesophageal echocardiography adds value to transcatheter aortic valve implantation. J Am Soc Echocardiogr. 2013;26:359–69.

    Article  PubMed  Google Scholar 

  28. Jilaihawi H, Doctor N, Kashif M, et al. Aortic annular sizing for transcatheter aortic valve replacement using cross-sectional 3-dimensional transesophageal echocardiography. J Am Coll Cardiol. 2013;61:908–16.

    Article  PubMed  Google Scholar 

  29. Khalique OK, Kodali SK, Paradis JM, et al. Aortic annular sizing using a novel 3-dimensional echocardiographic method: use and comparison with cardiac computed tomography. Circ Cardiovasc Imaging. 2014;7:155–63.

    Article  PubMed  Google Scholar 

  30. Kasel AM, Cassese S, Bleiziffer S, et al. Standardized imaging for aortic annular sizing: implications for transcatheter valve selection. JACC Cardiovasc Imaging. 2013;6:249–62.

    Article  PubMed  Google Scholar 

  31. Masson JB, Kovac J, Schuler G, et al. Transcatheter aortic valve implantation: review of the nature, management, and avoidance of procedural complications. JACC Cardiovasc Interv. 2009;2:811–20.

    Article  PubMed  Google Scholar 

  32. Ewe SH, Ng AC, Schuijf JD, et al. Location and severity of aortic valve calcium and implications for aortic regurgitation after transcatheter aortic valve implantation. Am J Cardiol. 2011;108:1470–7.

    Article  CAS  PubMed  Google Scholar 

  33. Khalique OK, Hahn RT, Gada H, et al. Quantity and location of aortic valve complex calcification predicts severity and location of paravalvular regurgitation and frequency of post-dilation after balloon-expandable transcatheter aortic valve replacement. JACC Cardiovasc Interv. 2014;7:885–94.

    Article  PubMed  Google Scholar 

  34. Azzalini L, Ghoshhajra BB, Elmariah S, et al. The aortic valve calcium nodule score (AVCNS) independently predicts paravalvular regurgitation after transcatheter aortic valve replacement (TAVR). J Cardiovasc Comput Tomogr. 2014;8:131–40.

    Article  PubMed  Google Scholar 

  35. Dvir D, Lavi I, Eltchaninoff H, et al. Multicenter evaluation of Edwards SAPIEN positioning during transcatheter aortic valve implantation with correlates for device movement during final deployment. JACC Cardiovasc Interv. 2012;5:563–70.

    Article  PubMed  Google Scholar 

  36. Genereux P, Reiss GR, Kodali SK, Williams MR, Hahn RT. Periaortic hematoma after transcatheter aortic valve replacement: description of a new complication. Catheter Cardiovasc Interv. 2012;79:766–76.

    Article  PubMed  Google Scholar 

  37. Leber AW, Kasel M, Ischinger T, et al. Aortic valve calcium score as a predictor for outcome after TAVI using the CoreValve revalving system. Int J Cardiol. 2013;166:652–7.

    Article  PubMed  Google Scholar 

  38. Wijesinghe N, Ye J, Rodes-Cabau J, et al. Transcatheter aortic valve implantation in patients with bicuspid aortic valve stenosis. JACC Cardiovasc Interv. 2010;3:1122–5.

    Article  PubMed  Google Scholar 

  39. Ferrari E, Locca D, Sulzer C, et al. Successful transapical aortic valve implantation in a congenital bicuspid aortic valve. Ann Thorac Surg. 2010;90:630–2.

    Article  PubMed  Google Scholar 

  40. Chiam PT, Chao VT, Tan SY, et al. Percutaneous transcatheter heart valve implantation in a bicuspid aortic valve. JACC Cardiovasc Interv. 2010;3:559–61.

    Article  PubMed  Google Scholar 

  41. Mylotte D, Lefevre T, Sondergaard L, et al. Transcatheter aortic valve replacement in bicuspid aortic valve disease. J Am Coll Cardiol. 2014;64:2330–9.

    Article  PubMed  Google Scholar 

  42. Babaliaros VC, Liff D, Chen EP, et al. Can balloon aortic valvuloplasty help determine appropriate transcatheter aortic valve size? JACC Cardiovasc Interv. 2008;1:580–6.

    Article  PubMed  Google Scholar 

  43. Patsalis PC, Al-Rashid F, Neumann T, et al. Preparatory balloon aortic valvuloplasty during transcatheter aortic valve implantation for improved valve sizing. JACC Cardiovasc Interv. 2013;6:965–71.

    Article  PubMed  Google Scholar 

  44. Amat-Santos IJ, Dahou A, Webb J, et al. Comparison of hemodynamic performance of the balloon-expandable SAPIEN 3 versus SAPIEN XT transcatheter valve. Am J Cardiol. 2014;114:1075–82.

    Article  PubMed  Google Scholar 

  45. Webb J, Gerosa G, Lefevre T, et al. Multicenter evaluation of a next-generation balloon-expandable transcatheter aortic valve. J Am Coll Cardiol. 2014;64:2235–43.

    Article  PubMed  Google Scholar 

  46. Klein AA, Skubas NJ, Ender J. Controversies and complications in the perioperative management of transcatheter aortic valve replacement. Anesth Analg. 2014;119:784–98.

    Article  PubMed  Google Scholar 

  47. Zoghbi WA, Chambers JB, Dumesnil JG, et al. Recommendations for evaluation of prosthetic valves with echocardiography and doppler ultrasound: a report from the American Society of Echocardiography’s Guidelines and Standards Committee and the Task Force on Prosthetic Valves, developed in conjunction with the American College of Cardiology Cardiovascular Imaging Committee, Cardiac Imaging Committee of the American Heart Association, the European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography and the Canadian Society of Echocardiography, endorsed by the American College of Cardiology Foundation, American Heart Association, European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography, and Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2009;22:975–1014; quiz 1082–4.

    Article  PubMed  Google Scholar 

  48. Kodali SK, Williams MR, Smith CR, et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med. 2012;366:1686–95.

    Article  CAS  PubMed  Google Scholar 

  49. Unbehaun A, Pasic M, Dreysse S, et al. Transapical aortic valve implantation: incidence and predictors of paravalvular leakage and transvalvular regurgitation in a series of 358 patients. J Am Coll Cardiol. 2012;59:211–21.

    Article  PubMed  Google Scholar 

  50. Abdel-Wahab M, Zahn R, Horack M, et al. Aortic regurgitation after transcatheter aortic valve implantation: incidence and early outcome. Results from the German transcatheter aortic valve interventions registry. Heart. 2011;97:899–906.

    Article  PubMed  Google Scholar 

  51. Tamburino C, Capodanno D, Ramondo A, et al. Incidence and predictors of early and late mortality after transcatheter aortic valve implantation in 663 patients with severe aortic stenosis. Circulation. 2011;123:299–308.

    Article  PubMed  Google Scholar 

  52. Moat NE, Ludman P, de Belder MA, et al. Long-term outcomes after transcatheter aortic valve implantation in high-risk patients with severe aortic stenosis: the U.K. TAVI (United Kingdom Transcatheter Aortic Valve Implantation) registry. J Am Coll Cardiol. 2011;58:2130–8.

    Article  PubMed  Google Scholar 

  53. Gotzmann M, Korten M, Bojara W, et al. Long-term outcome of patients with moderate and severe prosthetic aortic valve regurgitation after transcatheter aortic valve implantation. Am J Cardiol. 2012;110:1500–6.

    Article  PubMed  Google Scholar 

  54. Sinning JM, Hammerstingl C, Vasa-Nicotera M, et al. Aortic regurgitation index defines severity of peri-prosthetic regurgitation and predicts outcome in patients after transcatheter aortic valve implantation. J Am Coll Cardiol. 2012;59:1134–41.

    Article  PubMed  Google Scholar 

  55. Hayashida K, Morice MC, Chevalier B, et al. Sex-related differences in clinical presentation and outcome of transcatheter aortic valve implantation for severe aortic stenosis. J Am Coll Cardiol. 2012;59:566–71.

    Article  PubMed  Google Scholar 

  56. Daneault B, Koss E, Hahn RT, et al. Efficacy and safety of postdilatation to reduce paravalvular regurgitation during balloon-expandable transcatheter aortic valve replacement. Circ Cardiovasc Interv. 2013;6:85–91.

    Article  PubMed  Google Scholar 

  57. Makkar RR, Jilaihawi H, Chakravarty T, et al. Determinants and outcomes of acute transcatheter valve-in-valve therapy or embolization: a study of multiple valve implants in the U.S. PARTNER trial (placement of AoRTic TraNscathetER valve trial Edwards SAPIEN transcatheter heart valve). J Am Coll Cardiol. 2013;62:418–30.

    Article  PubMed  Google Scholar 

  58. Nombela-Franco L, Rodes-Cabau J, DeLarochelliere R, et al. Predictive factors, efficacy, and safety of balloon post-dilation after transcatheter aortic valve implantation with a balloon-expandable valve. JACC Cardiovasc Interv. 2012;5:499–512.

    Article  PubMed  Google Scholar 

  59. Schultz C, Rossi A, van Mieghem N, et al. Aortic annulus dimensions and leaflet calcification from contrast MSCT predict the need for balloon post-dilatation after TAVI with the Medtronic CoreValve prosthesis. EuroIntervention. 2011;7:564–72.

    Article  PubMed  Google Scholar 

  60. Marwan M, Achenbach S, Ensminger SM, et al. CT predictors of post-procedural aortic regurgitation in patients referred for transcatheter aortic valve implantation: an analysis of 105 patients. Int J Cardiovasc Imaging. 2013;29:1191–8.

    Article  PubMed  Google Scholar 

  61. John D, Buellesfeld L, Yuecel S, et al. Correlation of device landing zone calcification and acute procedural success in patients undergoing transcatheter aortic valve implantations with the self-expanding CoreValve prosthesis. JACC Cardiovasc Interv. 2010;3:233–43.

    Article  PubMed  Google Scholar 

  62. Kappetein AP, Head SJ, Genereux P, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document. J Am Coll Cardiol. 2012;60:1438–54.

    Article  PubMed  Google Scholar 

  63. Cawley PJ, Hamilton-Craig C, Owens DS, et al. Prospective comparison of valve regurgitation quantitation by cardiac magnetic resonance imaging and transthoracic echocardiography. Circ Cardiovasc Imaging. 2013;6:48–57.

    Article  PubMed  Google Scholar 

  64. Abdel-Wahab M, Mehilli J, Frerker C, et al. Comparison of balloon-expandable vs self-expandable valves in patients undergoing transcatheter aortic valve replacement: the CHOICE randomized clinical trial. JAMA. 2014;311:1503–14.

    Article  PubMed  Google Scholar 

  65. Ribeiro HB, Le Ven F, Larose E, et al. Cardiac magnetic resonance versus transthoracic echocardiography for the assessment and quantification of aortic regurgitation in patients undergoing transcatheter aortic valve implantation. Heart. 2014;100:1924–32.

    Article  PubMed  Google Scholar 

  66. Altiok E, Frick M, Meyer CG, et al. Comparison of two- and three-dimensional transthoracic echocardiography to cardiac magnetic resonance imaging for assessment of paravalvular regurgitation after transcatheter aortic valve implantation. Am J Cardiol. 2014;113:1859–66.

    Article  PubMed  Google Scholar 

  67. Patel Y, Vassileva C, Mishkel G. Rare complication of ventricular septal defect in three patients following transcatheter aortic valve replacement. Catheter Cardiovasc Interv. 2014;83:497–501.

    Article  PubMed  Google Scholar 

  68. Tzikas A, Schultz C, Piazza N, van Geuns RJ, Serruys PW, de Jaegere PP. Perforation of the membranous interventricular septum after transcatheter aortic valve implantation. Circ Cardiovasc Interv. 2009;2:582–3.

    Article  PubMed  Google Scholar 

  69. Gerckens U, Latsios G, Pizzulli L. Percutaneous treatment of a post-TAVI ventricular septal defect: a successful combined procedure for an unusual complication. Catheter Cardiovasc Interv. 2013;81:E274–7.

    Article  PubMed  Google Scholar 

  70. Aminian A, Lalmand J, Dolatabadi D. Late contained aortic root rupture and ventricular septal defect after transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2013;81:E72–5.

    Article  PubMed  Google Scholar 

  71. Al-Attar N, Ghodbane W, Himbert D, et al. Unexpected complications of transapical aortic valve implantation. Ann Thorac Surg. 2009;88:90–4.

    Article  PubMed  Google Scholar 

  72. Massabuau P, Dumonteil N, Berthoumieu P, et al. Left-to-right interventricular shunt as a late complication of transapical aortic valve implantation. JACC Cardiovasc Interv. 2011;4:710–2.

    Article  PubMed  Google Scholar 

  73. Eggebrecht H, Schmermund A, Kahlert P, Erbel R, Voigtlander T, Mehta RH. Emergent cardiac surgery during transcatheter aortic valve implantation (TAVI): a weighted meta-analysis of 9,251 patients from 46 studies. EuroIntervention. 2013;8:1072–80.

    Article  PubMed  Google Scholar 

  74. Greif M, Lange P, Nabauer M, et al. Transcutaneous aortic valve replacement with the Edwards SAPIEN XT and Medtronic CoreValve prosthesis under fluoroscopic guidance and local anaesthesia only. Heart. 2014;100:691–5.

    Article  PubMed  Google Scholar 

  75. Durand E, Borz B, Godin M, et al. Transfemoral aortic valve replacement with the Edwards SAPIEN and Edwards SAPIEN XT prosthesis using exclusively local anesthesia and fluoroscopic guidance: feasibility and 30-day outcomes. JACC Cardiovasc Interv. 2012;5:461–7.

    Article  PubMed  Google Scholar 

  76. Motloch LJ, Rottlaender D, Reda S, et al. Local versus general anesthesia for transfemoral aortic valve implantation. Clin Res Cardiol. 2012;101:45–53.

    Article  CAS  PubMed  Google Scholar 

  77. Yamamoto M, Meguro K, Mouillet G, et al. Effect of local anesthetic management with conscious sedation in patients undergoing transcatheter aortic valve implantation. Am J Cardiol. 2013;111:94–9.

    Article  CAS  PubMed  Google Scholar 

  78. Babaliaros V, Devireddy C, Lerakis S, et al. Comparison of transfemoral transcatheter aortic valve replacement performed in the catheterization laboratory (minimalist approach) versus hybrid operating room (standard approach): outcomes and cost analysis. JACC Cardiovasc Interv. 2014;7:898–904.

    Article  PubMed  Google Scholar 

  79. Bartel T, Bonaros N, Muller L, et al. Intracardiac echocardiography: a new guiding tool for transcatheter aortic valve replacement. J Am Soc Echocardiogr. 2011;24:966–75.

    Article  PubMed  Google Scholar 

  80. Ussia GP, Barbanti M, Sarkar K, et al. Accuracy of intracardiac echocardiography for aortic root assessment in patients undergoing transcatheter aortic valve implantation. Am Heart J. 2012;163:684–9.

    Article  PubMed  Google Scholar 

  81. Bartel T, Bonaros N, Edlinger M, et al. Intracardiac echo and reduced radiocontrast requirements during TAVR. JACC Cardiovasc Imaging. 2014;7:319–20.

    Article  PubMed  Google Scholar 

  82. Oguri A, Yamamoto M, Mouillet G, et al. Clinical outcomes and safety of transfemoral aortic valve implantation under general versus local anesthesia: subanalysis of the French Aortic National CoreValve and Edwards 2 registry. Circ Cardiovasc Interv. 2014;7:602–10.

    Article  PubMed  Google Scholar 

  83. Dall’Ara G, Eltchaninoff H, Moat N, et al. Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation. Int J Cardiol. 2014;177:448–54.

    Article  PubMed  Google Scholar 

  84. De Brito Jr FS, Carvalho LA, Sarmento-Leite R, et al. Outcomes and predictors of mortality after transcatheter aortic valve implantation: results of the Brazilian registry. Catheter Cardiovasc Interv. 2015;85:E153–62.

    Article  PubMed  Google Scholar 

  85. Gao G, Penney G, Ma Y, et al. Registration of 3D trans-esophageal echocardiography to X-ray fluoroscopy using image-based probe tracking. Med Image Anal. 2012;16:38–49.

    Article  PubMed  Google Scholar 

  86. Lang P, Seslija P, Chu MW, et al. US-fluoroscopy registration for transcatheter aortic valve implantation. IEEE Trans Biomed Eng. 2012;59:1444–53.

    Article  PubMed  Google Scholar 

  87. Mountney P, Ionasec R, Kaizer M, et al. Ultrasound and fluoroscopic images fusion by autonomous ultrasound probe detection. Med Image Comput Comput Assist Interv. 2012;15:544–51.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Cardiology, Department of Medicine, Corrigan Minehan Heart Center, Massachusetts General Hospital, 55 Fruit St, Yawkey Suite 5700, Boston, MA, 02114, USA

    Jonathan J. Passeri MD

Authors
  1. Jonathan J. Passeri MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jonathan J. Passeri MD .

Editor information

Editors and Affiliations

  1. Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA

    Michael H. Picard

  2. Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA

    Jonathan J. Passeri

  3. Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA

    Jacob P. Dal-Bianco

Electronic Supplementary Material

Video 6.1

Wire within the left ventricular cavity. In this view, a J-wire is visualized across the aortic valve and within the left ventricle. The wire is appropriately positioned and does not interfere with the mitral apparatus (AVI 19804 kb)

Video 6.2

Transapical approach for TAVR. The surgeon is palpating a proposed site for placement of the apical cannula for implantation of a transcatheter heart valve (AVI 92451 kb)

Video 6.3

Transcatheter aortic valve replacement with a balloon expandable transcatheter heart valve. A third generation balloon expandable transcatheter heart valve is implanted during rapid ventricular pacing. Stent shortening occurs almost exclusively from the inflow (ventricular) side of the stent (AVI 249122 kb)

Video 6.4

Paravalvular aortic regurgitation. After implantation of a self-expanding transcatheter heart valve, the stent is not fully expanded due to bulky calcification. This results in severe paravalvular regurgitation as demonstrated by color Doppler (AVI 14318 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Passeri, J.J. (2016). Transcatheter Aortic Valve Replacement. In: Picard, M., Passeri, J., Dal-Bianco, J. (eds) Intraprocedural Imaging of Cardiovascular Interventions. Springer, Cham. https://doi.org/10.1007/978-3-319-29428-5_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-29428-5_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29426-1

  • Online ISBN: 978-3-319-29428-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation