The evolving role of cardiac imaging in percutaneous valvular intervention

Darryl P. Leong, Majo X. Joseph, Ajay Sinhal, Joseph B. Selvanayagam

Research output: Contribution to journalReview article

Abstract

Surgical therapies have represented the primary evidence-based intervention to alter the natural history of valvular heart disease (VHD), however, the increasing incidence of patients at high surgical risk due to age and related co-morbid conditions has given rise to the need for alternative strategies. Thus, percutaneous approaches to VHD therapy have emerged as an important therapeutic option. Cardiovascular imaging plays a critical role in patient screening for percutaneous valvular interventions, during the procedure itself, and as part of follow-up for the identification of implant success/failure and complications. The technical demands on imaging in this context are highly specific. Although imaging has a significant role in the broader evaluation of valvular heart disease mechanism and severity, the purpose of this paper is to summarise the particular goals of cardiovascular imaging in the work-up for, during, and in the follow-up of percutaneous valvular intervention.

Original languageEnglish
Pages (from-to)704-716
Number of pages13
JournalHeart Lung and Circulation
Volume22
Issue number9
DOIs
Publication statusPublished - 1 Sep 2013

Keywords

  • Cardiac imaging techniques
  • Computed tomography
  • Echocardiography
  • Heart valve diseases
  • Magnetic resonance imaging
  • Percutaneous intervention

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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