The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)
A Novel 3D Imaging Approach to Evaluate Coronary Access following ACURATE Neo Implantation to Treat a Degenerated Surgical Bioprosthesis
Arif A Khokhar1; Francesco Ponticelli2; Adriana Zlahoda-Huzior3; Rossella Ruggiero2; Won-Keun Kim4; Antonio Mangieri5; Antonio Colombo5; Dariusz Dudek6; Francesco Giannini2;
1. Interventional Cardiology unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Italy, Italy 2. Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Italy 3. AGH University of Science and Technology, Department of Measurement and Electronics, Krakow, Poland 4. Department of Cardiology and Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany 5. Department of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy and Cardio Center, Humanitas Research Hospital IRCCS, Rozzano-Milan, Italy 6. Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
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Coronary access following transcatheter aortic valve replacement (TAVR) can be challenging and is relevant as TAVR expands towards lower-risk younger patients. Prior studies have used post-implantation computed-tomography (CT) scans to suggest several anatomical and device-related factors which can impact coronary access[2–5]. However, the two-dimensional (2D) images and measurements may not fully capture the complex 3D geometry underpinning the challenge of coronary access.
In this image, we present a novel CT-based, 3D multi-parametric imaging approach, which was used to evaluate geometrical factors relevant for coronary access.