Abstract
Interventional therapies in valvular heart disease address an increasing demand for minimal invasive strategies with good safety profile for an elderly patient population. These procedures are unique in their need for a multidisciplinary heart valve team with the help of a multimodality imaging approach. Imaging in interventional transcatheter valve implantations plays a pivotal role in the screening process of pre-procedural planning for optimal patient and device selection, the procedural guidance and optimization as well as the important short and long-term follow up evaluation of treatment success and complications. The goals of post-implantation imaging and assessment include the hemodynamic profile of the transcatheter prosthesis or edge-to-edge repair including gradients and quantification of valvular or paravalvular regurgitation and the positive remodeling effects of the therapy on cardiac chambers, clinical patient status as well as mortality and quality of life.