Table 7. Imaging methods for the evaluation of patients’ anatomical suitability for TAVI according to current practice.
TTE/TOE | CCTA | CMR | Angiography | |
---|---|---|---|---|
AS severity | +++ | ++* | ++ | + |
LV function | +++ | ++* | ++ | − |
LV septal thickness | ++ | ++* | +++ | − |
Concomitant valvular disease | +++ | + | +++ | − |
AV annulus diameter | +++ | +++ | +++ | ++ |
AV anatomy | ++ | +++ | ++ | − |
AV calcification | ++ | +++ | − | ++ |
Aortic root measurements | ++ | +++ | +++ | ++ |
AV annulus—coronary arteries distance | ± | +++ | +++ | ± |
Coronary artery disease | − | +++ | ++ | +++ |
Coronary stenosis | − | +++ | − | +++ |
Peripheral arteries anatomy | − | +++ | ++ | ++ |
Peripheral arteries calcification | − | +++ | − | + |
+ + +, most frequently used; + +, less frequently used; +, least used; −, unsuitable; *, related to the retrospective multiphasic acquisition. AS, aortic stenosis; LV, left ventricular; AV, aortic annulus; TTE, transthoracic echocardiography; TOE, transoesophageal echocardiography; CCTA, cardiac computed tomography angiography; CMR, cardiac magnetic resonance.