Nicht invasive Bildgebung bei Klappeninterventionen – welche Parameter braucht das Herzteam zur Entscheidung?

Abstract

Transcatheter techniques for valve repair or valve implantation have become standard procedure in the group of high risk patients or those deemed inoperable. Data from the German Aortic Valve Registry „Gary“ show similar survival and MACE rates of TAVI patients as compared to conventional surgery in the high risk group. In case of mitral regurgitation data from the Euro Heart Survey show that up to 50 % of patients with severe mitral regurgitation are not referred or deem inoperable. Data from the EVEREST I and II trials not only demonstrate sufficient reduction of MR but also reduced clinical events. It is therefore important to identify high risk patients with severe valve disease, who would benefit from transcatheter techniques. Multimodality imaging is the anwser to this need. It identifies the right patients, guides procedures and helps to monitor the postinterventional period. Multimodality imaging has therefore become an integral part in any heart team discussion.

• Literatur

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