ACR appropriateness criteria imaging for transcatheter aortic valve replacement

Karin E. Dill, Elizabeth George, Suhny Abbara, Kristopher Cummings, Christopher J. Francois, Marie D. Gerhard-Herman, Heather L. Gornik, Michael Hanley, Sanjeeva P. Kalva, Jacobo Kirsch, Christopher M. Kramer, Bill S. Majdalany, John M. Moriarty, Isabel B. Oliva, Matthew P. Schenker, Richard Strax, Frank J. Rybicki

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Although aortic valve replacement is the definitive therapy for severe aortic stenosis, almost half of patients with severe aortic stenosis are unable to undergo conventional aortic valve replacement because of advanced age, comorbidities, or prohibitive surgical risk. Treatment options have been recently expanded with the introduction of catheter-based implantation of a bioprosthetic aortic valve, referred to as transcatheter aortic valve replacement. Because this procedure is characterized by lack of exposure of the operative field, image guidance plays a critical role in preprocedural planning. This guideline document evaluates several preintervention imaging examinations that focus on both imaging at the aortic valve plane and planning in the supravalvular aorta and iliofemoral system. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)957-965
Number of pages9
JournalJournal of the American College of Radiology
Volume10
Issue number12
DOIs
StatePublished - 2013

Fingerprint

Aortic Valve
Aortic Valve Stenosis
Guidelines
Expert Testimony
Therapeutics
Aorta
Comorbidity
Catheters
Transcatheter Aortic Valve Replacement

Keywords

  • aortic valve stenosis
  • Appropriateness criteria
  • computed tomographic angiography
  • echocardiography
  • magnetic resonance angiography
  • transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Dill, K. E., George, E., Abbara, S., Cummings, K., Francois, C. J., Gerhard-Herman, M. D., ... Rybicki, F. J. (2013). ACR appropriateness criteria imaging for transcatheter aortic valve replacement. Journal of the American College of Radiology, 10(12), 957-965. https://doi.org/10.1016/j.jacr.2013.09.002

ACR appropriateness criteria imaging for transcatheter aortic valve replacement. / Dill, Karin E.; George, Elizabeth; Abbara, Suhny; Cummings, Kristopher; Francois, Christopher J.; Gerhard-Herman, Marie D.; Gornik, Heather L.; Hanley, Michael; Kalva, Sanjeeva P.; Kirsch, Jacobo; Kramer, Christopher M.; Majdalany, Bill S.; Moriarty, John M.; Oliva, Isabel B.; Schenker, Matthew P.; Strax, Richard; Rybicki, Frank J.

In: Journal of the American College of Radiology, Vol. 10, No. 12, 2013, p. 957-965.

Research output: Contribution to journalArticle

Dill, KE, George, E, Abbara, S, Cummings, K, Francois, CJ, Gerhard-Herman, MD, Gornik, HL, Hanley, M, Kalva, SP, Kirsch, J, Kramer, CM, Majdalany, BS, Moriarty, JM, Oliva, IB, Schenker, MP, Strax, R & Rybicki, FJ 2013, 'ACR appropriateness criteria imaging for transcatheter aortic valve replacement', Journal of the American College of Radiology, vol. 10, no. 12, pp. 957-965. https://doi.org/10.1016/j.jacr.2013.09.002
Dill, Karin E. ; George, Elizabeth ; Abbara, Suhny ; Cummings, Kristopher ; Francois, Christopher J. ; Gerhard-Herman, Marie D. ; Gornik, Heather L. ; Hanley, Michael ; Kalva, Sanjeeva P. ; Kirsch, Jacobo ; Kramer, Christopher M. ; Majdalany, Bill S. ; Moriarty, John M. ; Oliva, Isabel B. ; Schenker, Matthew P. ; Strax, Richard ; Rybicki, Frank J. / ACR appropriateness criteria imaging for transcatheter aortic valve replacement. In: Journal of the American College of Radiology. 2013 ; Vol. 10, No. 12. pp. 957-965.
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