Transcatheter aortic valve replacement (TAVR) is an established therapy for patients with symptomatic severe aortic stenosis. Technological advances and the learning curve have resulted in better procedural results in terms of hemodynamic valve performance and intermediate-term clinical outcomes. The integration of anatomical and functional information provided by multimodality imaging has improved size selection of TAVR prostheses, permitted better patient selection, and provided new insights in the performance of the TAVR prostheses at follow-up. Furthermore, the field of TAVR continues to develop and expand the technique to younger patients with lower risk on the one hand, and more complex clinical scenarios on the other hand, such as degenerated aortic bioprostheses, bicuspid aortic valves, or pure native aortic regurgitation. The present review article summarizes how multimodality imaging can be integrated in TAVR in clinical (sometimes complex) scenarios that have not been included in the landmark randomized controlled trials.
Editors
Editor-in-Chief
Y.S. Chandrashekhar, MD, DM, FACC
CME Editor
Ragavendra R. Baliga, MD
Authors
Victoria Delgado, MD, PhD
Jeroen J Bax, MD, PhD
CME/MOC/ECME Information
Target Audience
JACC Journal CME/MOC is intended for physicians who treat patients with cardiovascular disease.
Important Dates
Date of Release: January 6, 2020
Term of Approval/Date of CME/MOC/ECME Expiration: January 5, 2021