The Role of Cardiac Computed Tomography in Valve Disease and Valve Intervention Planning

Abstract

Purpose of review

This review aims to provide an overview of cardiac CT role in detection of valvular lesions and in transcatheter valve replacement.

Recent findings

Modern CT scans and protocols allow valve evaluation with high spatial and temporal resolution with reduced radiation dose. Cardiac CT is now mainstay of transcatheter aortic valve replacement (TAVR) planning. It plays a role in sizing of transcatheter aortic valve prosthesis, risk assessment for potential complications, prediction of ideal fluoroscopic angles, and selection of vascular access. Cardiac CT’s role in transcatheter mitral, pulmonic, and tricuspid valve replacements has evolved in conjunction with these new procedures.

Summary

We summarize the role of cardiac CT in the context of valvular diseases and transcatheter valve replacement planning.

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Fig. 1

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Correspondence to Sandeep Hedgire MD.

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Brian B. Ghoshhajra (Siemens Healthcare, Inc.) declares unrelated educational consulting for valve replacement imaging. Angelo K Takigami and Sandeep Hedgire declare that they have no conflict of interest.

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Takigami, A.K., Ghoshhajra, B. & Hedgire, S. The Role of Cardiac Computed Tomography in Valve Disease and Valve Intervention Planning. Curr Treat Options Cardio Med 23, 3 (2021). https://doi.org/10.1007/s11936-020-00879-x

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Keywords

  • Cardiac computed tomography
  • Valve disease
  • Transcatheter valve replacement
  • TAVR
  • TMVR
  • TPVI
  • TTVI