News | Computed Tomography (CT) | January 08, 2019

SCCT Releases New Guideline for CT Use During TAVR

Consensus document is first update since 2012 to reflect volumes of new data gathered

SCCT Releases New Guideline for CT Use During TAVR

January 8, 2019 — The Society of Cardiovascular Computed Tomography (SCCT) has released a new expert consensus document for computed tomography (CT) imaging to improve outcomes for patients undergoing transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR). The 2019 guideline, a result of a consensus statement of experts in the field, was published in the Journal of Cardiovascular Computed Tomography.1 The new recommendations are an update to the 2012 SCCT consensus document on computed tomography imaging in context of TAVI/TAVR.

“The 2019 consensus statement represents a contemporary assessment of the role of computed tomography imaging that will serve as important guidance to a field that has seen rapid growth over the last six years,” said consensus statement author Jonathon A. Leipsic, M.D., FSCCT, of the University of British Columbia. “This guidance will in turn help ensure the appropriate use of CT to help inform clinical practice and continue to drive improvements in clinical outcomes for the patients we serve.”

Watch the VIDEO: What to Look for in CT Structural Heart Planning Software, an interview with Leipsic at SCCT 2016

TAVI/TAVR is a treatment strategy for patients with symptomatic severe aortic stenosis (narrowing of the exit of the left ventricle). The option for the non-surgical TAVI/TAVR treatment has now expanded from those who are ineligible for surgery or high-risk surgical candidates to also include patients who are at an intermediate risk for conventional surgical valve replacement.

“The role of computed tomography, which was initially used primarily for evaluating peripheral access, has grown substantially,” said author Philipp Blanke, M.D., FSCCT, of the University of British Columbia. “It is now the gold standard for accurately sizing the annulus, determining the risk of annular injury and coronary occlusion and providing predictions in advance of the TAVI/TAVR procedure.”

The updated consensus statement has been developed to better reflect the substantial volume of new data that has been published since 2012 describing the use of computed tomographic angiography in TAVI/TAVR planning and post-procedural assessment. The 2019 consensus document includes:

  • Recommendations for CT acquisition prior to TAVI/TAVR;
  • Recommendations for the sizing and reporting of the aortic valve, annulus and outflow tract;
  • Recommendations for the reporting of fluoroscopic angulation;
  • Recommendations for the reporting of vascular access, coronary artery, and non-cardiac, non-vascular findings; and
  • Recommendations for the reporting of post- TAVI/TAVR and pre-VIV scans

The recommendations were written by 11 experts and based on the level of consensus: strong (≥9 in agreement), moderate (7-8) and weak (6). Recommendations with less than six of the author group in support of the statement were not adopted into the 2019 expert consensus document.

For more information: www.scct.org

Reference

1. Blanke P., Weir-McCall J.R., Achenbach S., et al. Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI) / transcatheter aortic valve replacement (TAVR): An expert consensus document of the Society of Cardiovascular Computed Tomography. Journal of Cardiovascular Computed Tomography, Jan. 7, 2019. DOI: https://doi.org/10.1016/j.jcct.2018.11.008

 

 

 

Related Content

Siemens Healthineers Demonstrates Artificial Intelligence, Healthcare Digitalization at HIMSS19
News | Artificial Intelligence | February 13, 2019
February 13, 2019 — At the 2019 Healthcare Information and Management Systems Society (HIMSS) global conference and e
Canon Adds Radiation Therapy Package to Aquilion Prime, Lightning CT Systems
News | Computed Tomography (CT) | February 11, 2019
In the patient-centric world of radiation oncology, it is critical that computed tomography (CT) simulation is...
New Appropriate Use Criteria Outlined for Multimodality Imaging of Nonvalvular Heart Disease
News | Cardiac Imaging | February 11, 2019
The American College of Cardiology (ACC), along with nine other cardiology professional societies, recently published a...
Fujifilm Launches Latest Synapse 3D Version at HIMSS 2019

The new Intravoxel Incoherent Motion (IVIM) MR application in Synapse 3D

Technology | Advanced Visualization | February 08, 2019
Fujifilm Medical Systems U.S.A. will debut the latest version of its Synapse 3D solution at the Healthcare Information...
Korean National Training Center Installs Carestream OnSight 3D Extremity System
News | Computed Tomography (CT) | February 07, 2019
Jincheon National Training Center in Jincheon, South Korea, installed a Carestream OnSight 3D Extremity System at its...
Canon Medical Debuts Alphenix 4-D CT at RSNA 2018
Technology | Angiography | February 06, 2019
Canon Medical Systems USA Inc. recently introduced a new angiography configuration featuring its Alphenix Sky + C-arm...
Canon Medical Systems Launches Alphenix Interventional Imaging Line
Technology | Angiography | February 04, 2019
Canon Medical Systems USA recently introduced its next generation of interventional systems – the Alphenix platform....
MaxQ AI's Accipio Software Integrated to GE's Smart Subscription Platform
News | Computed Tomography (CT) | January 29, 2019
MaxQ AI and GE Healthcare announced that MaxQ's Accipio artificial intelligence (AI) platform will now be a part of GE...
Siemens Healthineers Debuts AI-Rad Companion Chest CT
News | Artificial Intelligence | January 25, 2019
Siemens Healthineers presented its first intelligent software assistant for radiology, the AI-Rad Companion Chest CT,...
3-D Reconstruction of Ichthyosaurus Skull

A 3-D reconstruction of the ichthyosaurus skull from a computed tomography (CT) scan. Image courtesy of Nigel Larkin, taken at Royal Veterinary College, London.

News | Computed Tomography (CT) | January 09, 2019
A nearly meter-long skull of a giant fossil marine ichthyosaur found in a farmer's field more than 60 years ago has...