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- W2142218058 abstract "Finding the optimal implantation view (OIV) before prosthesis deployment is paramount for procedural success during balloon expandable transcatheter aortic valve replacement (TAVR). Incorrect positioning of the valve prosthesis in the aortic annulus during TAVR may result in adverse outcome such as aortic regurgitation, heart block, valve embolization or coronary obstruction [ 1 Samim M. Stella P.R. Agostoni P. et al. Automated 3D analysis of pre-procedural MDCT to predict annulus plane angulation and C-arm positioning: benefit on procedural outcome in patients referred for TAVR. JACC Cardiovasc Imaging. 2013; 6: 238-248 Abstract Full Text Full Text PDF PubMed Scopus (47) Google Scholar , 2 Wong D.R. Ye J. Cheung A. Webb J.G. Carere R.G. Lichtenstein S.V. Technical considerations to avoid pitfalls during transapical aortic valve implantation. J Thorac Cardiovasc Surg. 2010; 140: 196-202 Abstract Full Text Full Text PDF PubMed Scopus (73) Google Scholar , 3 Al Ali A.M. Altwegg L. Horlick E.M. et al. Prevention and management of transcatheter balloon-expandable aortic valve malposition. Catheter Cardiovasc Interv. 2008; 72: 573-578 Crossref PubMed Scopus (102) Google Scholar , 4 Masson J.B. 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: 811-820 Abstract Full Text Full Text PDF PubMed Scopus (370) Google Scholar ]. Optimal implantation view is defined as the fluoroscopic view perpendicular to the native valve, aligning all three sinuses of Valsalva (Fig. 1A ) [ [5] Binder R.K. Leipsic J. Wood D. et al. Prediction of optimal deployment projection for transcatheter aortic valve replacement: angiographic 3-dimensional reconstruction of the aortic root versus multidetector computed tomography. Circ Cardiovasc Interv. 2012; 5: 247-252 Crossref PubMed Scopus (80) Google Scholar ]. An offline, preprocedural 3-dimensional (3D) reconstruction of the aortic annulus has been shown to be feasible with multislice computed tomography (MSCT) and it has been proven to reasonably predict OIV for TAVR [ 1 Samim M. Stella P.R. Agostoni P. et al. Automated 3D analysis of pre-procedural MDCT to predict annulus plane angulation and C-arm positioning: benefit on procedural outcome in patients referred for TAVR. JACC Cardiovasc Imaging. 2013; 6: 238-248 Abstract Full Text Full Text PDF PubMed Scopus (47) Google Scholar , 2 Wong D.R. Ye J. Cheung A. Webb J.G. Carere R.G. Lichtenstein S.V. Technical considerations to avoid pitfalls during transapical aortic valve implantation. J Thorac Cardiovasc Surg. 2010; 140: 196-202 Abstract Full Text Full Text PDF PubMed Scopus (73) Google Scholar , 3 Al Ali A.M. Altwegg L. Horlick E.M. et al. Prevention and management of transcatheter balloon-expandable aortic valve malposition. Catheter Cardiovasc Interv. 2008; 72: 573-578 Crossref PubMed Scopus (102) Google Scholar , 4 Masson J.B. 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: 811-820 Abstract Full Text Full Text PDF PubMed Scopus (370) Google Scholar , 5 Binder R.K. Leipsic J. Wood D. et al. Prediction of optimal deployment projection for transcatheter aortic valve replacement: angiographic 3-dimensional reconstruction of the aortic root versus multidetector computed tomography. Circ Cardiovasc Interv. 2012; 5: 247-252 Crossref PubMed Scopus (80) Google Scholar , 6 Gurvitch R. Wood D.A. Leipsic J. et al. Multislice computed tomography for prediction of optimal angiographic deployment projections during transcatheter aortic valve implantation. JACC Cardiovasc Interv. 2010; 3: 1157-1165 Abstract Full Text Full Text PDF PubMed Scopus (125) Google Scholar ]. The main limitation of MSCT is the lack of real-time determination of the OIV during TAVR, whilst in the catheterization laboratory the patient may be positioned differently on the table as compared to patient's position under the MSCT scanner, leading thus to different optimal angles. More recently rotational angiography has been introduced for determination of the OIV during TAVR. The aims of this study are 1) to evaluate procedural benefit in terms of implantation accuracy, radiation exposure, number of aortograms needed to find the OIV, and contrast use, with rotational angiography for OIV determination as compared to MSCT and 2) to investigate the agreement between the optimal implantation angles according to conventional angiography, 3D reconstruction images derived from rotational angiography and MSCT." @default.
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- W2142218058 date "2014-10-01" @default.
- W2142218058 modified "2023-09-25" @default.
- W2142218058 title "Three-dimensional aortic root reconstruction derived from rotational angiography for transcatheter balloon-expandable aortic valve implantation guidance" @default.
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