Cardiac CT Beyond Coronaries: Focus on Structural Heart Disease.

IF 3.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Current Heart Failure Reports Pub Date : 2023-12-01 Epub Date: 2023-11-29 DOI:10.1007/s11897-023-00635-9

Michaela M Hell, Tilman Emrich, Philipp Lurz, Ralph Stephan von Bardeleben, Axel Schmermund

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Abstract

Purpose of review: Cardiac computed tomography (CT) is an established non-invasive imaging tool for the assessment of coronary artery disease. Furthermore, it plays a key role in the preinterventional work-up of patients presenting with structural heart disease.

Recent findings: CT is the gold standard for preprocedural annular assessment, device sizing, risk determination of annular injury, coronary occlusion or left ventricular outflow tract obstruction, calcification visualization and quantification of the target structure, and prediction of a co-planar fluoroscopic angulation for transcatheter interventions in patients with structural heart disease. It is further a key imaging modality in postprocedural assessment for prosthesis thrombosis, degeneration, or endocarditis. CT plays an integral part in the imaging work-up of novel transcatheter therapies for structural heart disease and postprocedural assessment for prosthesis thrombosis or endocarditis. This review provides a comprehensive overview of the key role of CT in the context of structural heart interventions.

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冠状动脉以外的心脏CT:关注结构性心脏病。

回顾目的:心脏计算机断层扫描(CT)是一种公认的评估冠状动脉疾病的无创成像工具。此外，它在结构性心脏病患者的介入前检查中起着关键作用。最近发现:CT是术前环形评估、装置尺寸、环形损伤风险确定、冠状动脉闭塞或左心室流出道梗阻、靶结构钙化可视化和量化以及预测结构性心脏病患者经导管介入共面透视成角的金标准。它也是假体血栓形成、退变或心内膜炎术后评估的关键成像方式。CT在结构性心脏病的新型经导管治疗的影像学检查以及假体血栓形成或心内膜炎的术后评估中发挥着不可或缺的作用。本文综述了CT在心脏结构干预中的关键作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Heart Failure Reports Medicine-Emergency Medicine

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of heart failure. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as investigative, pharmacologic, and nonpharmacologic therapies, pathophysiology, and prevention. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.

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