Shehbaz Shaikh MD, Presenter: Nothing to Disclose

Nick Ryan Reeser MD, Abstract Co-Author: Nothing to Disclose

Thomas Kieju Song MD, Abstract Co-Author: Nothing to Disclose

Dee Dee Wang MD, Abstract Co-Author: Nothing to Disclose

Adam Greenbaum MD, Abstract Co-Author: Nothing to Disclose

William W O'Neill MD, Abstract Co-Author: Nothing to Disclose

The purpose of this exhibit is: 1. To review a novel approach in performing transarterial aortic valve replacement (TAVR) by obtaining aortic access via direct puncture of the IVC, followed by closure of the aortocaval tract with off-label use of a commercially available PDA or VSD closure device. 2. To review the indications, contraindications, early appearances, and complications associated with this new procedure. 3. To describe a step-wise approach for the radiologist to interpret pre/post-procedural imaging, including specific pre-procedural planning measurements.  

1. Typical treatment options for patients with severe aortic stenosis 2. Patient selection 3. Transcaval TAVR procedure 4. Pre-procedural CT assessment (including imaging protocol, reporting worksheet, determining target entry site, etc.) 5. Expected postoperative appearances 6. Complications 7. Follow-up 8. Outcomes 9. Summary  

http://abstract.rsna.org/uploads/2014/14015655/14015655_3xw5.pdf

Shaikh, S, Reeser, N, Song, T, Wang, D, Greenbaum, A, O'Neill, W, A Review of Pre- and Post-transcaval TAVR CT Imaging: What the Radiologist Needs to Know.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14015655.html