Echocardiographic Imaging for Transcatheter Aortic Valve Replacement

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Transcatheter aortic valve replacement has become an accepted alternative to surgery for patients with severe, symptomatic aortic stenosis who are inoperable or are at high surgical risk. Recent trials support the use of transcatheter aortic valve replacement also in patients at intermediate risk, and ongoing trials are assessing appropriateness in other patient groups. The authors review the key anatomic features integral to the transcatheter aortic valve replacement procedure and the echocardiographic imaging required for preprocedural, intraprocedural, and postprocedural assessment.HighlightsThe imager is an essential member of the Heart Team for the TAVR procedure.Echocardiography is the imaging modality of choice for the assessment of aortic valve morphology and function.Echocardiography is a valuable adjunctive imaging modality for planning prior to transcatheter aortic valve replacement.Echocardiography is an essential imaging tool for intraprocedural guidance and postprocedural assessment of transcatheter aortic valve replacement.

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