Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Nov 18:8:e31.
doi: 10.15420/cfr.2022.10. eCollection 2022 Jan.

Multimodality Imaging in Valvular Structural Interventions

Affiliations
Review

Multimodality Imaging in Valvular Structural Interventions

Karine Grigoryan et al. Card Fail Rev. .

Abstract

Structural valvular interventions have skyrocketed in the past decade with new devices becoming available and indications for patients who would previously have been deemed inoperable. Furthermore, while echocardiography is the main imaging tool and the first line for patient screening, cardiac magnetic resonance and CT are now essential tools in pre-planning and post-procedural follow-up. This review aims to address imaging modalities and their scope in aortic, mitral and tricuspid structural valvular interventions, including multimodality imaging. Pulmonary valve procedures, which are mostly carried out in patients with congenital problems, are discussed. This article presents a guide on individualised imaging approcahes on each of the available interventional procedures.

Keywords: Multimodality imaging; structural interventions; transcatheter; valvular heart disease.

PubMed Disclaimer

Conflict of interest statement

Disclosure: JG is on the editorial board of Cardiac Failure Reivew; this did not influence peer review. In the last 36 months, PGM reports consulting fees from Perspectum Diagnostics. SR reports speaker fees from Edwards Lifesciences and is on Medtronic’s international advisory board. All other authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Low-Flow Low-Gradient Aortic Stenosis and True Severe Aortic Stenosis
Figure 2:
Figure 2:. Multiplanar Reconstruction of the Annulus and Aortic Root
Figure 3:
Figure 3:. Multiplanar Reconstruction of the Height of the Coronary Arteries
Figure 4:
Figure 4:. Multiplanar Reconstruction on the Aorta and Left Peripheral Access
Figure 5:
Figure 5:. MitraClip Implantation

References

    1. Iung B, Delgado V, Rosenhek R et al. Contemporary presentation and management of valvular heart disease: the EURObservational Research Programme Valvular Heart Disease II Survey. Circulation. 2019;140:1156–69. doi: 10.1161/CIRCULATIONAHA.119.041080. - DOI - PubMed
    1. Writing Committee Members; Otto CM, Nishimura RA, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice guidelines. J Thorac Cardiovasc Surg. 2021;162:e183–353. doi: 10.1016/j.jtcvs.2021.04.002. - DOI - PubMed
    1. Thaden JJ, Nkomo VT, Enriquez-Sarano M. The global burden of aortic stenosis. Prog Cardiovasc Dis. 2014;56:565–71. doi: 10.1016/j.pcad.2014.02.006. - DOI - PubMed
    1. Vahanian A, Beyersdorf F, Praz F et al. 2021 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 2022;43:561–632. doi: 10.1093/eurheartj/ehab395. - DOI - PubMed
    1. Nishimura RA, O’Gara PT, Bavaria JE et al. 2019 AATS/ACC/ASE/SCAI/STS expert consensus systems of care document: a proposal to optimize care for patients with valvular heart disease: a joint report of the American Association for Thoracic Surgery, American College of Cardiology, American Society of Echocardiography, Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons. Ann Thorac Surg. 2019;107:1884–910. doi: 10.1016/j.athoracsur.2019.03.001. - DOI - PubMed