Best Practices for Imaging of Transcatheter Valve Failure: An Update From the Heart Valve Collaboratory

Omar K. Khalique, Syed Zaid, Gilbert H.L. Tang, Mohamed Abdel-Wahab, Miriama Akodad, Vinayak N. Bapat, Jeroen J. Bax, Daniel J. Blackman, Philipp Blanke, Sabine Bleiziffer, Davide Capodanno, Joao L. Cavalcante, Lakshmi P. Dasi, Ole De Backer, Matthiew De Beuel, Alison Duncan, Marc R. Dweck, Miho Fukui, Aakriti Gupta, Kentaro HayashidaHoward C. Herrmann, Tsuyoshi Kaneko, Nicole Karam, Jaffar M. Khan, Jan Kovac, Uri Landes, Jonathon A. Leipsic, Martin B. Leon, Michael J. Mack, Mahesh V. Madhavan, Moody M. Makar, Raj R. Makkar, Mouaz Al Mallah, David Meier, Thomas Modine, Atsushi Okada, Roosha K. Parikh, Radoslaw Parma, Dhairya Patel, Philippe Pibarot, Bernard Prendergast, Nishath Quader, Michael J. Reardon, Toby Rogers, Lucy M. Safi, Stephanie L. Sellers, Sabah Skaf, Giuseppe Tarantini, Didier Tchetche, Nicolas van Mieghem, Dee Dee Wang, John G. Webb, Stephan Windecker, Steven J. Yakubov, Victoria Delgado, Rebecca T. Hahn, Hasan Jilaihawi

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

This updated Heart Valve Collaboratory framework addresses the growing concern for transcatheter valve failure (TVF) following transcatheter aortic valve replacement (TAVR). With the increasing volume of redo-TAV and surgical TAV explantation, there is a critical need for standardized pathways and protocols for evaluating TVF using echocardiography and cardiac computed tomography (CT) angiography. This document clarifies prior definitions of bioprosthetic valve deterioration and bioprosthetic valve failure in a practical, imaging directed context for TAVR. It discusses various imaging modalities for diagnosing TVF, including echocardiography, cardiac CT angiography, cardiac magnetic resonance, and positron emission tomography/CT. Recommendations are provided on the systematic imaging for: 1) follow-up post-TAVR; 2) procedural planning for redo-TAV; and 3) post–redo-TAV, emphasizing the importance of regular monitoring and the need for comprehensive imaging data to optimize patient outcomes in the lifetime management of aortic valve disease.

Original languageEnglish
Pages (from-to)1042-1055
Number of pages14
JournalJournal of the American College of Cardiology
Volume85
Issue number10
DOIs
StatePublished - Mar 18 2025

Keywords

  • cardiac computed tomography angiography
  • structural valve deterioration
  • transcatheter aortic valve replacement
  • transesophageal echocardiography
  • transthoracic echocardiography

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