Is There Still a Role for Invasive Assessment of Aortic Gradient?

Advances in technology and imaging have expanded the range of tools for diagnosing aortic stenosis (AS). The accurate assessment of aortic valve area and mean pressure gradient is crucial to determine which patients are appropriate candidates for aortic valve replacement. Nowadays, these values can...

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Bibliographic Details
Published in:Diagnostics (Basel) 2023-05, Vol.13 (10), p.1698
Main Authors: Angellotti, Domenico, Immobile Molaro, Maddalena, Simonetti, Fiorenzo, Ilardi, Federica, Castiello, Domenico Simone, Mariani, Andrea, Manzo, Rachele, Avvedimento, Marisa, Leone, Attilio, Nappa, Dalila, Piccolo, Raffaele, Losi, Maria Angela, Franzone, Anna, Esposito, Giovanni
Format: Article
Language:English
Subjects:
Aortic stenosis
Aortic valve stenosis
Cardiac arrhythmia
Cardiac catheterization
Cardiac patients
Cardiology
Cardiovascular disease
Catheterization
Catheters
Coronary vessels
Diagnosis
gradient
Heart
Hemodynamics
Intubation
invasive
Laboratories
Pulmonary arteries
Review
Trends
Veins & arteries
Viscosity
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Summary:Advances in technology and imaging have expanded the range of tools for diagnosing aortic stenosis (AS). The accurate assessment of aortic valve area and mean pressure gradient is crucial to determine which patients are appropriate candidates for aortic valve replacement. Nowadays, these values can be obtained noninvasively or invasively, with similar results. Contrariwise, in the past, cardiac catheterization played a major role in the evaluation of AS severity. In this review, we will discuss the historical role of the invasive assessment of AS. Moreover, we will specifically focus on tips and tricks for properly performing cardiac catheterization in patients with AS. We will also elucidate the role of invasive methods in current clinical practice and their additional value to the information provided through non-invasive techniques.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics13101698