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Aortoiliofemoral Assessment: MDCT

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Multimodality Imaging for Transcatheter Aortic Valve Replacement

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Abstract

Multidetector computed tomography (MDCT) angiography of the iliofemoral access arteries is a critical step in patient selection for transcatheter aortic valve replacement. Vascular complications are the largest single source of procedure-related morbidity and mortality. Arterial stenosis, extreme tortuosity, and circumferential or horseshoe calcification are associated with poor outcomes and may preclude retrograde femoral access. MDCT provides high-resolution volumetric datasets which allow the generation of multiplanar and volume-rendered reconstructions for comprehensive visual assessment and provides the input data for accurate quantitative assessment of vessel geometry to avoid a mismatch between the access vessels and the large vascular access sheaths employed.

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Author information

Authors and Affiliations

  1. Department of Radiology, Stanford University Hospital, 1130 Welch Rd, Apartment 326, Palo Alto, CA, 94304, USA

    Theodore Blake BSc, MD, FRCPC

  2. Department of Radiology, Stanford University School of Medicine, 300 Pasteur Drive, Room S-072, Stanford, CA, 94305-5105, USA

    Theodore Blake BSc, MD, FRCPC & Dominik Fleischmann MD

Authors
  1. Theodore Blake BSc, MD, FRCPC
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  2. Dominik Fleischmann MD
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Corresponding author

Correspondence to Dominik Fleischmann MD .

Editor information

Editors and Affiliations

  1. NewYork-Presbyterian Hospital, Weill Cornell Medical College, New York, New York, USA

    James K. Min

  2. Departments of Imaging and Medicine, David Geffen UCLA School of Medicine, Cedars-Sinai Medical Center Cedars-Sinai Heart Institute, Los Angeles, California, USA

    Daniel S. Berman

  3. Department of Cardiology, St. Paul’s Hospital, University of British Columbia Department of Radiology, Vancouver, British Columbia, Canada

    Jonathon Leipsic

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© 2014 Springer-Verlag London

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Blake, T., Fleischmann, D. (2014). Aortoiliofemoral Assessment: MDCT. In: Min, J., Berman, D., Leipsic, J. (eds) Multimodality Imaging for Transcatheter Aortic Valve Replacement. Springer, London. https://doi.org/10.1007/978-1-4471-2798-7_21

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  • DOI: https://doi.org/10.1007/978-1-4471-2798-7_21

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2797-0

  • Online ISBN: 978-1-4471-2798-7

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