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Best Practices for Imaging of Transcatheter Valve Failure: An Update From the Heart Valve Collaboratory

  • Omar K. Khalique*
  • , Syed Zaid
  • , Gilbert H.L. Tang
  • , Mohamed Abdel-Wahab
  • , Miriama Akodad
  • , Vinayak N. Bapat
  • , Jeroen J. Bax
  • , Daniel J. Blackman
  • , Philipp Blanke
  • , Sabine Bleiziffer
  • , Davide Capodanno
  • , Joao L. Cavalcante
  • , Lakshmi P. Dasi
  • , Ole De Backer
  • , Matthiew De Beuel
  • , Alison Duncan
  • , Marc R. Dweck
  • , Miho Fukui
  • , Aakriti Gupta
  • , Kentaro Hayashida
  • Howard C. Herrmann, Tsuyoshi Kaneko, Nicole Karam, Jaffar M. Khan, Jan Kovac, Uri Landes, Jonathon A. Leipsic, Martin B. Leon, Michael J. Mack, Mahesh V. Madhavan, Moody M. Makar, Raj R. Makkar, Mouaz Al Mallah, David Meier, Thomas Modine, Atsushi Okada, Roosha K. Parikh, Radoslaw Parma, Dhairya Patel, Philippe Pibarot, Bernard Prendergast, Nishath Quader, Michael J. Reardon, Toby Rogers, Lucy M. Safi, Stephanie L. Sellers, Sabah Skaf, Giuseppe Tarantini, Didier Tchetche, Nicolas van Mieghem, Dee Dee Wang, John G. Webb, Stephan Windecker, Steven J. Yakubov, Victoria Delgado, Rebecca T. Hahn, Hasan Jilaihawi*
*Corresponding author for this work
  • St. Francis Hospital & Heart Center, Roslyn
  • Baylor College of Medicine
  • Icahn School of Medicine at Mount Sinai
  • Fresenius AG
  • Institut Cardiovasculaire Paris Sud
  • Allina Health
  • Leiden University
  • Leeds Teaching Hospitals NHS Trust
  • Providence Health Care Canada
  • Ruhr University Bochum
  • Azienda Ospedaliero – Universitaria “Policlinico – Vittorio Emanuele,”
  • Georgia Institute of Technology
  • University of Copenhagen
  • Feops
  • Royal Brompton and Harefield NHS Foundation Trust
  • University of Edinburgh
  • Cedars-Sinai Medical Center
  • Keio University
  • University of Pennsylvania
  • Washington University St. Louis
  • Hôpital Européen Georges Pompidou
  • University Hospitals of Leicester NHS Trust
  • Technion-Israel Institute of Technology
  • University of British Columbia
  • Columbia University
  • Baylor Scott & White Health
  • Houston Methodist
  • University of Lausanne
  • Bordeaux University Hospital
  • Medical University of Silesia in Katowice
  • Université Laval
  • St Thomas' Hospital
  • Washington Hospital Center
  • University of Padua
  • Erasmus University Rotterdam
  • Henry Ford Health System
  • University of Bern
  • Riverside Hospital
  • Generalitat de Catalunya

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

This updated Heart Valve Collaboratory framework addresses the growing concern for transcatheter valve failure (TVF) following transcatheter aortic valve replacement (TAVR). With the increasing volume of redo-TAV and surgical TAV explantation, there is a critical need for standardized pathways and protocols for evaluating TVF using echocardiography and cardiac computed tomography (CT) angiography. This document clarifies prior definitions of bioprosthetic valve deterioration and bioprosthetic valve failure in a practical, imaging directed context for TAVR. It discusses various imaging modalities for diagnosing TVF, including echocardiography, cardiac CT angiography, cardiac magnetic resonance, and positron emission tomography/CT. Recommendations are provided on the systematic imaging for: 1) follow-up post-TAVR; 2) procedural planning for redo-TAV; and 3) post–redo-TAV, emphasizing the importance of regular monitoring and the need for comprehensive imaging data to optimize patient outcomes in the lifetime management of aortic valve disease.

Original languageEnglish
Pages (from-to)1042-1055
Number of pages14
JournalJournal of the American College of Cardiology
Volume85
Issue number10
DOIs
StatePublished - 18 Mar 2025
Externally publishedYes

Keywords

  • cardiac computed tomography angiography
  • structural valve deterioration
  • transcatheter aortic valve replacement
  • transesophageal echocardiography
  • transthoracic echocardiography

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