Transcatheter Aortic Valve Implantation and Subclinical and Clinical Leaflet Thrombosis: Multimodality Imaging for Diagnosis and Risk Stratification

In recent years, the phenomenon of subclinical leaflet thrombosis (SLT) in patients who have undergone transcatheter aortic valve implantation has become increasingly relevant. Hypo-attenuating leaflet thickening and hypo-attenuation affecting motion diagnosed by CT are the hallmarks of SLT, and the...

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Autores principales: María Martín, Javier Cuevas, Helena Cigarrán, Juan Calvo, César Morís
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2021
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Acceso en línea:https://doaj.org/article/a5f23fd0c4e14482a1b9cb4667578520
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spelling oai:doaj.org-article:a5f23fd0c4e14482a1b9cb46675785202021-12-04T16:05:00ZTranscatheter Aortic Valve Implantation and Subclinical and Clinical Leaflet Thrombosis: Multimodality Imaging for Diagnosis and Risk Stratification10.15420/ecr.2021.091758-37641758-3756https://doaj.org/article/a5f23fd0c4e14482a1b9cb46675785202021-09-01T00:00:00Zhttps://www.ecrjournal.com/articleindex/ecr.2021.09https://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764In recent years, the phenomenon of subclinical leaflet thrombosis (SLT) in patients who have undergone transcatheter aortic valve implantation has become increasingly relevant. Hypo-attenuating leaflet thickening and hypo-attenuation affecting motion diagnosed by CT are the hallmarks of SLT, and their incidence varies depending on the intensity of screening. Whether these phenomena are a surrogate for leaflet thrombosis reducing valve durability and increasing the risk of stroke is still a matter of debate. Uncertainty remains over the optimal antithrombotic therapy after TAVI and the best treatment strategy is still not confirmed. Ongoing and future trials will provide more evidence about the best strategy for the prevention and treatment of SLT.María MartínJavier CuevasHelena CigarránJuan CalvoCésar MorísRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 16, Iss , Pp - (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
María Martín
Javier Cuevas
Helena Cigarrán
Juan Calvo
César Morís
Transcatheter Aortic Valve Implantation and Subclinical and Clinical Leaflet Thrombosis: Multimodality Imaging for Diagnosis and Risk Stratification
description In recent years, the phenomenon of subclinical leaflet thrombosis (SLT) in patients who have undergone transcatheter aortic valve implantation has become increasingly relevant. Hypo-attenuating leaflet thickening and hypo-attenuation affecting motion diagnosed by CT are the hallmarks of SLT, and their incidence varies depending on the intensity of screening. Whether these phenomena are a surrogate for leaflet thrombosis reducing valve durability and increasing the risk of stroke is still a matter of debate. Uncertainty remains over the optimal antithrombotic therapy after TAVI and the best treatment strategy is still not confirmed. Ongoing and future trials will provide more evidence about the best strategy for the prevention and treatment of SLT.
format article
author María Martín
Javier Cuevas
Helena Cigarrán
Juan Calvo
César Morís
author_facet María Martín
Javier Cuevas
Helena Cigarrán
Juan Calvo
César Morís
author_sort María Martín
title Transcatheter Aortic Valve Implantation and Subclinical and Clinical Leaflet Thrombosis: Multimodality Imaging for Diagnosis and Risk Stratification
title_short Transcatheter Aortic Valve Implantation and Subclinical and Clinical Leaflet Thrombosis: Multimodality Imaging for Diagnosis and Risk Stratification
title_full Transcatheter Aortic Valve Implantation and Subclinical and Clinical Leaflet Thrombosis: Multimodality Imaging for Diagnosis and Risk Stratification
title_fullStr Transcatheter Aortic Valve Implantation and Subclinical and Clinical Leaflet Thrombosis: Multimodality Imaging for Diagnosis and Risk Stratification
title_full_unstemmed Transcatheter Aortic Valve Implantation and Subclinical and Clinical Leaflet Thrombosis: Multimodality Imaging for Diagnosis and Risk Stratification
title_sort transcatheter aortic valve implantation and subclinical and clinical leaflet thrombosis: multimodality imaging for diagnosis and risk stratification
publisher Radcliffe Medical Media
publishDate 2021
url https://doaj.org/article/a5f23fd0c4e14482a1b9cb4667578520
work_keys_str_mv AT mariamartin transcatheteraorticvalveimplantationandsubclinicalandclinicalleafletthrombosismultimodalityimagingfordiagnosisandriskstratification
AT javiercuevas transcatheteraorticvalveimplantationandsubclinicalandclinicalleafletthrombosismultimodalityimagingfordiagnosisandriskstratification
AT helenacigarran transcatheteraorticvalveimplantationandsubclinicalandclinicalleafletthrombosismultimodalityimagingfordiagnosisandriskstratification
AT juancalvo transcatheteraorticvalveimplantationandsubclinicalandclinicalleafletthrombosismultimodalityimagingfordiagnosisandriskstratification
AT cesarmoris transcatheteraorticvalveimplantationandsubclinicalandclinicalleafletthrombosismultimodalityimagingfordiagnosisandriskstratification
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