Abstract : Objectives: This study aimed to assess the prevalence and nature of extracardiac incidental findings in patients undergoing computed tomography (CT) scans before transcatheter aortic valve implantation (TAVI). Materials and Methods: This retrospective cohort teleradiology study analyzed 33 patients' pre-TAVI CT scans. The study identified and categorized incidental extracardiac findings, highlighting significant findings and those of clear or potential malignancy. Results: All participants in the study had at least one incidental extracardiac finding, with a total of 115 occurrences of 43 different types being recorded. The most common findings were spinal degenerative disc disease, renal cysts, pulmonary edema, and pleural effusions. 73% of the cohort were identified as having clinically significant extracardiac findings. In terms of clearly or potentially malignant findings, these were observed in 42% of the cohort, including renal cell carcinoma, large paratracheal soft tissue mass, multinodular thyroid gland, lung nodules, and prostate enlargement. Conclusion: This study highlights the significant occurrence of extracardiac incidental findings, many of which are clearly or potentially malignant, in pre-TAVI CT scans. These findings underscore the necessity for thorough pre-procedural evaluations in TAVI candidates, as they can influence patient management and outcomes. Future research should aim for larger, multicenter, prospective studies to understand better

Volume and Issue
Full Article Download