Grant Mitchell

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Objective Pre procedural work up for transcatheter aortic valve implantation (TAVI) has traditionally required invasive coronary angiography (ICA). Following the development of a drugless radiographer led CT (RLCCT) service with good quality control metrics,1 we investigated whether incorporation of coronary artery assessment into the TAVI CT protocol could reduce the need for ICA.Methods Two cohorts were analysed: pre-implementation (Jan 2017–Jun 2019) and post implementation (Jan 2023–Jun 2025) following RLCCT introduction. Service evaluation was registered with the clinical audit team, University Hospitals Plymouth, CA_2025-26-188. Data was evaluated using Radiology Information System (RIS) and an in house patient clinical information system (seeEHR). Uniform reporting included demographics (age, sex, BMI) and CAD-RADS score. ICAs 24 months were excluded.Results 2017 – 2019: Demographics: mean age 82, BMI 27, 53.93% male. 244/267 patients (91.4%) underwent ICA either within 24 months prior to CT TAVI or in the interval between CT and TAVI. Of these, 27 (11.1%) underwent revascularisation with PCI prior to TAVI.2023 – 2025: Demographics: mean age 80, BMI 28, 59.12% male. 117 of 362 patients (32.3%) underwent ICA: 81 (22.4%) prior to CT, 32 (8.8%) following CT, and 4 (1.1%) at the time of the TAVI procedure. The remaining 245 patients (67.7%) did not undergo pre procedural ICA (figures 1 and 2).Conclusions With advanced cardiac CT technology and experienced radiographers and reporters, RLCCT reduced ICA by 59% in increased surgical risk patients, improving safety, efficiency, and cost effectiveness of the TAVI pathway.Reference1. Morgan-Hughes G, et al . Drugless and radiographer led: the start of a new era for CT coronary angiography. Open Heart 2023; 10 (1):e002263–e002263. https://doi.org/10.1136/openhrt-2023-002263.By incorporating cardiac CT angiography into the TAVI CT protocol, can reduce the need for invasive coronary angiography amount by:40%50%60%![Abstract 7 Figure 2][1]Abstract 7 Figure 2![Abstract 7 Figure 1][1]Abstract 7 Figure 159%[1]: pending:yes

Boozer, the 2026 NCAA Player of the Year and a consensus first-team All-American, has an implied 29.4% chance to win the award, according to FanDuel Sportsbook.