Type:
Educational Exhibit
Keywords:
Education and training, Cardiac Assist Devices, Venous access, Computer Applications-3D, Catheters, CT-Angiography, Vascular, Cardiac, Anatomy
Authors:
Z. FIGUEROA MARQUEZ , G. G. Leal, G. A. Averanga Ticona, Y. P. Narváez Rojas, L. Palacios, H. A. Carreño Cruz, J. Crosta, F. A. Abramzon; Buenos Aires/AR
DOI:
10.26044/ecr2019/C-3679
Conclusion
Angiotomography in a percutaneous aortic vascular replacement is a valuable tool for cardiovascular surgeons since it allows them to perform surgery and management in patients with a contraindication to valve replacement surgery.
A good analysis of all the elements described has an impact on the patient's management,
helps to decide the most appropriate access,
individualize the characteristics of the prosthesis to each patient and detects some of the general exclusion criteria (mainly related to the anatomy of the valvular apparatus) and other situations that contraindicate the percutaneous implantation,
in please open surgery:
- Aortic ring <22 mm or> 27 mm.
- Serious and asymmetric valvular calcification.
- Apical thrombus of the left ventricle.
- Height of the sinuses of Valsalva <10 mm.
- Sinotubular junction> 43 mm.
The role played by the radiologist is of vital importance in the multidisciplinary management for these patients,
because angiotomography
because it allows interventions in the patient.
It provides fundamental information that will guide and give certain guidelines before and during the procedure,
for which the correct realization of a good,
complete and well-made angiotomographic report will lead to an adequate decision-making process.