Aortoiliofemoral Angiography and IVUS

Chapter

Abstract

Transcatheter aortic valve replacement (TAVR) is a revolutionary treatment modality that has proven efficacy in patients with symptomatic, severe aortic stenosis (AS). While there are a number of methods for implantation of the stented valve, the transfemoral (TF) route has emerged as the “default” for patients with appropriate vascular access. Appropriate patient selection, as well as the ability to perform TF-TAVR successfully and minimize the risk of vascular complications, rests on a thorough pre-procedural analysis of the aortoiliofemoral system. This is generally accomplished using all or a combination of the following multimodality imaging: angiography, intravascular ultrasound (IVUS), and multidetector computed tomography (MDCT). We will concentrate this chapter on the analysis of angiography and IVUS.

Keywords

Transcatheter aortic valve replacement (TAVR) Transfemoral (TF) Iliofemoral angiography Intravascular ultrasound (IVUS) Patient assessment 

References

  1. 1.
  2. 2.
    Hayashida K, Lefevre T, Chevalier B, et al. Transfemoral aortic valve implantation new criteria to predict vascular complications. JACC Cardiovasc Interv. 2011;4:851–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Eltchaninoff H, Kerkeni M, Zajarias A, et al. Aorto-iliac angiography as a screening tool in selecting patients for transfemoral aortic valve implantation with the Edwards SAPIEN bioprosthesis. EuroIntervention. 2009;5:438–42.PubMedCrossRefGoogle Scholar
  4. 4.
    Arthurs ZM, Bishop PD, Feiten LE, Eagleton MJ, Clair DG, Kashyap VS. Evaluation of peripheral atherosclerosis: a comparative analysis of angiography and intravascular ultrasound imaging. J Vasc Surg. 2010;51:933–8; discussion 9.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Department of Cardiovascular MedicineCleveland ClinicClevelandUSA

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