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• W2922339812 abstract "Abstract Introduction Patients with severe aortic stenosis ( AS ) require multi‐detector computed tomography ( MDCT ) when considered for transcatheter aortic valve implantation ( TAVI ). Incidental findings on MDCT are common given the age group and region imaged. Our aim was to evaluate the frequency and outcome of incidental findings ( IF ) identified on MDCT and the impact on survival. Methods This single‐centre analysis retrospectively reviewed severe AS patients who underwent MDCT during TAVI workup. MDCT reports were reviewed for any IF and defined into three categories: IF of no relevant clinical significance ( IF ‐No CS ), IF of non‐immediate clinical significance ( IF ‐ NICS ) and IF of immediate clinical significance ( IF ‐ ICS ). Demographics, follow‐up of IF and survival were calculated from MDCT date. Results Two hundred and sixty‐five patients underwent MDCT for TAVI suitability (mean age 83 ± 6 years, 52% male). The majority proceeded to TAVI (65%). Renal lesions (25%) and lung nodules (18%) were the most common IF . Fifty‐nine patients (22%) had IF ‐ NICS ; 39% (23/59) were benign, 59% were not further investigated and one patient had suspected lung cancer. Six patients (2.3%) had IF ‐ ICS and all were diagnosed with lung cancer. During a median follow‐up of 272 days, there was no survival difference between patients with IF ‐ ICS or IF ‐ NICS versus patients without IF or IF ‐No CS in the overall cohort ( P = 0.44) or in TAVI patients ( P = 0.88). Conclusion Incidental findings on MDCT are common with one‐quarter having IF ‐ ICS or IF ‐ NCIS . Most patients with IF ‐ NICS did not undergo further investigation. Standardized reporting of MDCT may assist in clarifying the need for further investigation which will in turn influence decision and timing to proceed with TAVI ." @default.
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• W2922339812 date "2019-03-15" @default.
• W2922339812 modified "2023-09-27" @default.
• W2922339812 title "Outcomes of incidental findings on multi‐detector computed tomography for transcatheter aortic valve implantation assessment: A single‐centre study and review of the literature" @default.
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• W2922339812 doi "https://doi.org/10.1111/1754-9485.12872" @default.
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