TY - JOUR
T1 - ACR Appropriateness Criteria® Preprocedural Planning for Transcatheter Aortic Valve Replacement
T2 - 2023 Update
AU - Expert Panels on Vascular and Cardiac Imaging
AU - Hedgire, Sandeep S.
AU - Saboo, Sachin S.
AU - Galizia, Mauricio S.
AU - Aghayev, Ayaz
AU - Bolen, Michael A.
AU - Rajiah, Prabhakar
AU - Ferencik, Maros
AU - Johnson, Thomas V.
AU - Kandathil, Asha
AU - Krieger, Eric V.
AU - Maddu, Kiran
AU - Maniar, Hersh
AU - Renapurkar, Rahul D.
AU - Shen, Jody
AU - Tannenbaum, Andrew
AU - Koweek, Lynne M.
AU - Steigner, Michael L.
N1 - Publisher Copyright:
© 2023 American College of Radiology
PY - 2023/11
Y1 - 2023/11
N2 - This document discusses preprocedural planning for transcatheter aortic valve replacement, evaluating the imaging modalities used in initial imaging for preprocedure planning under two variants 1) Preintervention planning for transcatheter aortic valve replacement: assessment of aortic root; and 2) Preintervention planning for transcatheter aortic valve replacement: assessment of supravalvular aorta and vascular access. US echocardiography transesophageal, MRI heart function and morphology without and with IV contrast, MRI heart function and morphology without IV contrast and CT heart function and morphology with IV contrast are usually appropriate for assessment of aortic root. CTA chest with IV contrast, CTA abdomen and pelvis with IV contrast, CTA chest abdomen pelvis with IV contrast are usually appropriate for assessment of supravalvular aorta and vascular access. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
AB - This document discusses preprocedural planning for transcatheter aortic valve replacement, evaluating the imaging modalities used in initial imaging for preprocedure planning under two variants 1) Preintervention planning for transcatheter aortic valve replacement: assessment of aortic root; and 2) Preintervention planning for transcatheter aortic valve replacement: assessment of supravalvular aorta and vascular access. US echocardiography transesophageal, MRI heart function and morphology without and with IV contrast, MRI heart function and morphology without IV contrast and CT heart function and morphology with IV contrast are usually appropriate for assessment of aortic root. CTA chest with IV contrast, CTA abdomen and pelvis with IV contrast, CTA chest abdomen pelvis with IV contrast are usually appropriate for assessment of supravalvular aorta and vascular access. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
KW - AUC
KW - Appropriateness Criteria
KW - appropriate use criteria
KW - imaging
KW - preprocedural planning
KW - transcatheter aortic valve replacement
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U2 - 10.1016/j.jacr.2023.08.009
DO - 10.1016/j.jacr.2023.08.009
M3 - Article
C2 - 38040467
AN - SCOPUS:85178378732
SN - 1546-1440
VL - 20
SP - S501-S512
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 11
ER -