[Transcatheter XXXX - diagnostic, procedure and outcomes].

@entity1 @entity1496 @entity8 @entity886 @entity472
UNASSIGNED: Transcatheter @entity886 (TAVI) is an interventional method for the treatment of severe @entity472 . TAVI is indicated in @entity1 who have been identified by the heart team as surgically inoperable or operable at very high risk. The advantage is minimal invasive approach with the absence of sternotomy and extracorporeal blood circulation. Interventional procedure does not allow direct visualization of the anatomical relations at the site of the final valve position (aortic anulus). For this reason it is essential to ensure appropriate view by high quality imaging methods. A standard method for the evaluation of the anatomical relations before TAVI is multidetector computed tomography (MDCT) with 3D reconstruction. In the future, the MDCT would be replaced by three-dimensional transesophageal echocardiography (3D TEE), which does not require ionizing radiation, there is no postcontrast @entity8 and hypersensitive reaction to @entity1496 compared to MDCT. Furthermore, it provides direct measurements during the procedure and ensures easier and cheaper dispensarisation of the @entity1 . A multicenter randomized PARTNER trial clearly demonstrated significant benefits of inoperable @entity1 with severe @entity472 treated by TAVI. Recently published CoreValve US Pivotal randomized trial demonstrated higher efficiency and safety of TAVI in direct comparison with surgical treatment. The aim of this review is to provide current knowledge of TAVI, preparation of the @entity1 before the intervention, the process of intervention, dispensarisation, as well as affecting the quality of @entity1 life.Key words: aortic anulus - aortic valve - heart team - multidetector computed tomography (MDCT) - three-dimensional transesophageal echocardiography (3D TEE) - transcatheter @entity886 (TAVI).
