Assessing the Impact of Transcatheter Aortic Valve Implantation on Cardiac Catheterisation: A Multicentric Study

Coronary Artery Disease in Patients Undergoing Transvalvular Aortic Valve Implantation

“…Studies so far have investigated both self-expanding and balloonexpandable valves and showed success rates of coronary angiography of over 90% for most, and high PCI success rates. [72][73][74][75][76][77] Angiography of the right coronary artery may be more difficult than of the left for anatomical reasons, although success rates are still high. 73,77 Small studies exploring PCI of the left main coronary artery after TAVI have also shown good success rates.…”

“…[72][73][74][75][76][77] Angiography of the right coronary artery may be more difficult than of the left for anatomical reasons, although success rates are still high. 73,77 Small studies exploring PCI of the left main coronary artery after TAVI have also shown good success rates. 55 Depending on aortic root anatomy as well as THV frame, there are different recommendations to best enable cannulation of the coronary ostia.…”

“…This shorter stent frame may favour future coronary access by allowing catheters to enter the coronary sinus above the frame rather than through stent cells. [ 77 ] CT-based studies have shown that balloon-expandable valve frames are infrequently positioned higher than coronary ostia. In these patients, there was no statistically significant impact on early MI rates or impact on future PCI.…”

Managing Complex Coronary Access After Transcatheter Aortic Valve Implantation

“…10 In a report from seven Asian and European centres that included 96 post-TAVI patients who underwent CA, a high (92%) success rate of CA was found. 12 The use of self-expandable supra-annular valves (SESAV), increased valve size and increased oversizing for area were identified as risk factors for difficult CA. 12 That report illustrated that CA can be performed in the vast majority of Asian patients with a success rate similar to that reported in non-Asian patients despite smaller aortic root and SoV dimensions.…”

Feasibility of selective coronary angiography and percutaneous coronary intervention following self-expanding transcatheter aortic valve replacement: a systematic review and meta-analysis

“…Summary of studies included for meta-analysis[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] CA, coronary angiogram; n, number of cases; NOS, Newcastle-Ottawa Scale; P, prospective; PCI, percutaneous coronary intervention; R, retrospective.…”