Background: In the last decades, interventional cardiology has received fast and wide implementation
as an effective alternative treatment to surgery for several congenital and acquired diseases. In this scenario, imaging
provides solutions for most clinical needs, from diagnosis to prognosis and risk stratification, as well as
anatomical and functional assessment.
Methods: In this review article, we present recent innovations in medical imaging for structural heart disease and
coronary artery disease, emphasizing the progress achieved in the field of multimodality imaging and the solutions
proposed to some as-yet unresolved technical problems for safe and effective procedural performance.
Results: Intra-procedural guidance can be facilitated by established multimodality cardiac imaging such as
transesophageal 2D and 3D echocardiography and by novel techniques as echo-fluoroscopy overlay and 3D
modeling/printing. Computed tomography and magnetic resonance imaging are particularly helpful for preprocedural
morphology assessment and device sizing.
Conclusion: Successful planning, performance, and aftercare of interventions depend heavily on accurate imaging
for both structural heart disease and coronary artery disease.