Le bilan optimal avant TAVI |
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Authors: | P Lantelme B Harbaoui |
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Institution: | 1. Service de cardiologie, hôpital Croix-Rousse et hôpital Lyon Sud, hospices civils de Lyon, 103, grande rue de la Croix-Rousse, 69004 Lyon, France;2. Université Lyon 1, CREATIS UMR5220, Inserm U1044, INSA-15, Lyon, France |
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Abstract: | The number of TAVI procedures is rapidly increasing owing to the extension of indications. Procedural and long-term success warrant appropriate patient selection and rigorous preparation of the procedure during the pre-TAVI work-up. The aims of this work-up are several: validation of the indication, feasibility and safety of the procedure, selection of the prosthesis and of the route, anticipation of technical challenges. The CT-scan is the cornerstone of this assessment allowing for valve and vascular access appraisal. The geriatric evaluation remains important in the elderly, frail, high-risk patients. The assessment of cardiac and extracardiac comorbidities is systematic and may be incorporated into dedicated risk scores to improve the prediction of post-TAVI outcomes; this should be the basis of the decision-making process by the Heart Team. |
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Keywords: | Auteur correspondant TAVI Rétrécissement aortique Scanner Accès vasculaires Complications Scores de risques Calcifications TAVI TAVR Aortic stenosis CT-scan Vascular access Complications Risk scores Calcifications |
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