The Evolving Role of Cardiac Imaging in Percutaneous Valvular Intervention

Darryl Leong, Majo Joseph, Ajay Sinhal, Joseph Selvanayagam

    Research output: Contribution to journalArticle

    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 - 2013

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