Multimodality imaging of aortic stenosis.

Slides:



Advertisements
Similar presentations
© 2012 EuroIntervention. All rights reserved. EuroIntervention 2009;5: A comparison of patient characteristics and 30-day mortality outcomes after.
Advertisements

Heart valve disease in general practice: a clinical overview by Jessica Webb, Chris Arden, and John B Chambers BJGP Volume 65(632):e204-e206 March 2, 2015.
Ischaemic heart disease. Coronary artery disease(CAD) is the leading cause of death worldwide. The rates of mortality and disability due to CAD are increasing.
Fig F-fluoride positron emission tomography (PET) in atherosclerosis
Velocity-encoded imaging (phase contrast mapping) to assess trans- and paravalvular regurgitation after transcatheter aortic valve replacement (TAVR).
Three cases illustrating the importance of the endocardial extent of infarction and its location for the QRS score. A. A small transmural, non–Q wave myocardial.
Algorithms proposed by the Heart Valve Clinic International Database (HAVEC) group for disease staging and management in patients with aortic valve stenosis.
Transcatheter Aortic Valve Implantation: A Canadian Cardiovascular Society Position Statement  John Webb, MD, FRCPC, Josep Rodés-Cabau, MD, FRCPC, Stephen.
Figure 10 Assessment of myocardial fibrosis
Number of balloon aortic valvuloplasty and TAVI procedures in the UK—the increase in stand-alone BAV mirrors the increase in TAVI (TAVI data from the 25.
An example adjunctive CT imaging in the management of aortic valve replacement dysfunction. An example adjunctive CT imaging in the management of aortic.
Lars A. Dejgaard et al. JACC 2018;72:
Ao, aorta; AR, aortic regurgitation; CFD, color-flow Doppler; LV, left ventricle; LV EDP, left ventricular end-diastolic pressure; PW, pulse-wave; SBP,
Schematic representation of the four ways in which acute aortic dissection can take a patient's life: (1) intrapericardial rupture, leading to cardiac.
Nat. Rev. Cardiol. doi: /nrcardio
Johannes Steiner et al. JACC 2017;70:
Aspects to be considered by the Heart Team for the decision between TAVR and SAVR in patients at increased surgical risk. Aspects to be considered by the.
Figure 4 TAVI for bicuspid aortic valve disease
MACE rate among CAD severity groups (total 0
Nat. Rev. Cardiol. doi: /nrcardio
(A–C) Sequential angiographic images demonstrating placement of the wire, using the retrograde technique in the LV cavity (A), followed by balloon placement.
Change in symptoms in operated and unoperated patients 1 year following evaluation of surgical AVR. Pie charts display change from baseline to follow-up.
Suggested pathway for assessment of aortic valve replacement dysfunction. Suggested pathway for assessment of aortic valve replacement dysfunction. Transthoracic.
Ao, aorta; CEOA, corrected effective orifice area; CFD, color-flow Doppler; CW, continuous-wave; DBP, diastolic blood pressure; LV EDP, left ventricular.
CT angiography results (vertical axis, N=count of patients): (A) total Coronary Calcium Score (CCS) (y-axis, Agatston Score), (B) coronary stenosis severity.
Imaging of active calcification by PET/CT with [18]F Sodium Fluoride
Heart valve disease in general practice: a clinical overview
Miralem Pasic et al. JCIN 2015;8:1-9
(A) Image of a stent that was damaged withdrawing it back into a Guideliner V2 after failing to cross the lesion. (A) Image of a stent that was damaged.
Nicolaj C. Hansson et al. JACC 2016;68:
Clinical course of participants with high cardiovascular risk profile
(A) Kaplan-Meier curve showing AF-free survival after a single procedure for patients grouped according to use of CT integration. (A) Kaplan-Meier curve.
Serial computed tomography (CT) imaging for monitoring disease progression in patients with idiopathic pulmonary fibrosis. Serial computed tomography (CT)
Comparison of CMR and echocardiography in aortic regurgitation.
Diagnostic modalities on presentation to the emergency room (CT abd/pelvis, CT of the abdomen and pelvis with contrast; CT chest, CT of the chest with.
Surgical findings with an intramural segment and severe RCA territory ischaemia in a patient with an intramural segment of an AAORCA (A and B, asterix.
Intramural segment with no ischaemia in a patient with an intramural segment of an AAORCA (A and B, asterix), there is normal rest and stress perfusion.
Two-dimensional (2D) and Three-dimensional (3D) images of the mitral valve and transmitral flow profile in a patient with AS and a control participant.
Detecting heart valve disease: can we do better?
Toray microarray analysis of the four groups of patients (A) and in patients with calcium score >100 (B). Toray microarray analysis of the four groups.
Kaplan–Meier survival curve for major adverse cardiac events (MACE): a trend towards superior survival in patients without signs of coronary artery disease.
Distribution of relative percentage change ((post-AVR−pre-AVR)/pre-AVR) in the patients’ absolute pVO2 values between pre-AVR and post-AVR after 9 months.
Asymptomatic 67-year-old man prior to orthopaedic surgery with three cardiac risk factors and borderline ST-segment depression inferior-posterior on treadmill.
(A) Quantitative plaque analysis of the RCA
Cost of healthcare and sick leave before and after heart valve surgery (€). Cost of healthcare and sick leave before and after heart valve surgery (€).
(A) Fluoroscopic image of our marker catheter in an anterioposterior projection shows measurements taken from the aortic valve to a line drawn between.
Box plot of hospital length of stay (in days) for the STD and TAVI groups before (blue) and after (green) the TAVI/turn-down date. Box plot of hospital.
N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels for patients undergoing surgical aortic valve replacement (SAVR) (A), patients undergoing.
Representative transaxial thin computed tomography (CT) sections at mid, mid-low, and low levels of the heart from a control subject (left) showing normal.
Bland-Altman plots for intra and inter observer variability for the assessment of total Agatston score for patients with a calcium score less than 1000.
OPN is elevated in patients with symptomatic AS
Deterministic univariate sensitivity analyses (BAV, balloon aortic valvuloplasty; ICU, intensive care unit; MM, medical management; QALY, quality-adjusted.
General morphology classification of left atrial appendage (LAA) as determined by cardiac CT. LAA can be classified into four types: (A) chicken wing type—with.
CT (left of images) showing calcified areas and PET (right of images) scans showing increased FDG-PET metabolic activity in the mediastinal mass (A) and.
ROC curves showing additive value of DHE in diagnosing ongoing episode of recurrence among all patients with established history of recurrent pericarditis.
Trend of complications for patients undergoing bioprosthetic mitral valve replacement (MVR) for mitral regurgitation between 2003 and Trend of complications.
Heat map of microRNA microarray expression from the four groups of patients. Heat map of microRNA microarray expression from the four groups of patients.
Patient selection process in the present study.
Dee Dee Wang et al. JIMG 2016;9:
A 58-year-old woman with aortic stenosis investigated by echocardiography and CT. (A) Doppler echocardiography demonstrating a peak aortic valve (AV) velocity.
Apical four chamber view in a patient with a bioprosthetic mitral valve and spontaneous echo contrast seen in the left ventricle. Apical four chamber view.
Cardiac MRI during the acute phase of the illness.
All MRIs of the first 10 patients before (left), and at intervals after, with the diameter of greatest change shown in red. All MRIs of the first 10 patients.
Membranous septum and the proximal left bundle branch.
Distribution of patient baseline characteristics among included studies. Distribution of patient baseline characteristics among included studies. Each.
Non-invasive molecular imaging techniques may play a future role in the management of pulmonary hypertension. a) Positron emission tomography–computed.
NYHA before and after at least 30–60 days after TAVI
Kaplan-Meier curves showing the probability of symptom-free survival according to the rate of heart rate rise during exercise testing in (A) for the whole.
18F-NaF positron emission tomography–computed tomography (PET-CT) in abdominal aortic aneurysm disease. 18F-NaF positron emission tomography–computed tomography.
Summary of the aortic valve procedures performed in the initial BAV group (A) and the initial SAV group (B), by order of reinterventions (first on the.
Presentation transcript:

Multimodality imaging of aortic stenosis. Multimodality imaging of aortic stenosis. (A) Contrast CT imaging of the aortic valve can provide detail regarding valve morphology and the distribution of calcification. (B) CT calcium scoring allows reproducible quantification of the calcific burden, which acts as a marker of disease severity. (C) Fused positron emission tomography and CT imaging with 18F-fluoride provides an indication of ongoing calcification activity in the valve. CT has an important clinical role in the workup of patients prior to transcatheter aortic valve implantation, providing accurate dimensions of the annulus for valve sizing (D) while cardiac MRI can be used to planimeter the aortic valve area (E) and to detect replacement myocardial fibrosis, red arrow (F). John B Chambers et al. Open Heart 2016;3:e000330 ©2016 by British Cardiovascular Society