STEMI After TAVR

Harhash, Ahmed; Ansari, Julia; Mandel, Leonid; Kipperman, Robert

doi:10.1016/j.jcin.2016.04.043

Cited by 22 publications

(3 citation statements)

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“…A case report of entrapment of the EBU guiding catheters within the TAVI valve frame leading to coronary dissection and eventual periprocedural mortality has been published. 22 For LCA catheters, standard JR4 catheters can be used as the initial catheter for engagement. Alternative catheters for engaging the right coronary ostium include the Ikari right 1.5, Multipurpose, and Amplatz right (AR) catheters.…”

Section: Procedural Considerations For Coronary Angiograms and Percut...mentioning

confidence: 99%

Managing Complex Coronary Access After Transcatheter Aortic Valve Implantation

Yap

2023

J Asian Pac Soc Cardiol

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Section: Procedural Considerations For Coronary Angiograms and Percut...mentioning

confidence: 99%

Managing Complex Coronary Access After Transcatheter Aortic Valve Implantation

Yap

2023

J Asian Pac Soc Cardiol

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“…Coronary Access in Self-Expanding Valves: CoreValve Evolut-R/Pro TM In contrast to balloon-expandable valves, the proper engagement of the coronary ostia in patients with self-expanding valves, e.g., the CoreValve TM (Medtronic Inc., Minneapolis, Minnesota, USA), is more challenging, and semi-selective or even unselective angiograms as well as unsuccessful PCIs are much more common than in cases with balloon-expandable valves (29,33,45). There are several reasons for coronary access difficulties with these THVs.…”

Section: Self-expanding Transcatheter Heart Valvesmentioning

confidence: 99%

“…Caution is warranted when using EBU catheters for the LCA. Harash et al reported a case where an EBU 3.5 became entrapped within the stent frame of an Evolut™ prosthesis after successful PCI of the LAD with subsequent dissection of the left main following attempts to disengage the catheter ( 45 ). The authors concluded that catheter retrieval failed due to the sharp angle between the tip of the guiding catheter and the stent frame as well as the engagement from a diamond below the ostium.…”

Section: Self-expanding Transcatheter Heart Valvesmentioning

confidence: 99%

Percutaneous Coronary Intervention in Transcatheter Aortic Valve Implantation Patients: Overview and Practical Management

Weferling

Hamm

Kim

2021

Front. Cardiovasc. Med.

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Coronary artery disease (CAD) is present in 40–75% of patients undergoing transcatheter aortic valve implantation (TAVI) for severe symptomatic aortic stenosis. Currently, the indication for TAVI is expanding toward younger patients at lower surgical risk. Given the progressive nature of CAD, the necessity for coronary angiography (CA), including percutaneous coronary intervention (PCI), will subsequently increase as in the future TAVI patients will be younger and have a longer life expectancy. Data on the impact of PCI in patients with severe CAD scheduled for TAVI are controversial, and although European and US guidelines recommend PCI before TAVI, the optimal timing for PCI remains unclear due to a lack of evidence. Depending on the valve type, position, and axial alignment of the implanted device, CA and/or PCI after TAVI can be challenging. Hence, every interventionalist should be familiar with the different types of transcatheter heart valves and their characteristics and technical issues that can arise during invasive coronary procedures. This review provides an overview of current data regarding the prevalence and clinical implications of CAD and PCI in TAVI patients and includes useful guidance for practical management in the clinical routine.

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