Cardiovascular CT for preprocedural planning of transcathete | Figure 1

Cardiovascular CT for preprocedural planning of transcatheter aortic valve replacement (TAVR).

(A) Double-oblique approach to identifying aortic annular plane before TAVR (black arrows). Aortic annuli should be measured at the leaflet insertions rather than in the valve plane.

(B) Volume-rendered imaging of the aorta, aortic annulus, and aortic valve. Blue line indicates the plane of the aortic annulus. When all points in the aortic annular plane are aligned (as indicated by blue line), these CT projection angles can be helpful to proceduralists as a guide to which angles may be useful at the time of the TAVR procedure.

Diameter (C), area (D), and perimeter (E) measurements of the aortic annulus for proper sizing of the TAVR prostheses.

Measurement of the right coronary ostial height (F), and left coronary ostial height (G), to ensure that the TAVR will not occlude the coronary ostia.

Source: Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine, 11th edition. ISBN: 9780323463423. Copyright ©2019 by Elsevier, Inc.


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