Management of concomitant coronary artery disease and aortic valve stenosis in the era of transcatheter aortic valve treatment

Abstract

Severe calcific aortic stenosis (AS) and coronary artery disease (CAD) have common risk factors and are frequently encountered in the same patient in clinical practice. CAD has been reported in ≥ 50% of AS patients undergoing both surgical treatment and transcatheter aortic valve implantation (TAVI). In the last two decades, TAVI has been established as a less invasive alternative to surgery. Recently, more and more young and low surgical risk patients undergo TAVI. Despite the high prevalence of CAD in patients treated with TAVI, the management strategy of concomitant CAD in these patients remains an area of considerable uncertainty. This review provides an updated overview of the current knowledge about this topic and offers points for reflection about the best approach to use.

Complete transcatheter versus complete surgical management for combined aortic stenosis and coronary artery disease: A false dichotomy?

“…Given the overlap in risk factors for aortic stenosis (AS) and coronary artery disease (CAD), these conditions commonly occur in concomitance. 1 Recent year has witnessed the growing cardiovascular indications for which transcatheter procedures are studied and utilized, including combined AS and CAD with transcatheter aortic valve implantation (TAVI) and percutaneous coronary intervention (PCI). However, significantly more data, both in volume and in the length of follow-up, are available for the conventional surgical approaches for such patients including combined surgical aortic valve replacement (SAVR) and coronary artery bypass grafting (CABG).…”

“…Given the overlap in risk factors for aortic stenosis (AS) and coronary artery disease (CAD), these conditions commonly occur in concomitance 1 . Recent year has witnessed the growing cardiovascular indications for which transcatheter procedures are studied and utilized, including combined AS and CAD with transcatheter aortic valve implantation (TAVI) and percutaneous coronary intervention (PCI).…”