Interventions for valvular disease and heart failure

Coronary artery cannulation after transcatheter aortic valve implantation

EuroIntervention 2021;17:835-847. DOI: 10.4244/EIJ-D-21-00158

Roberto Valvo
Roberto Valvo1, MD; Giuliano Costa1, MD; Corrado Tamburino1, MD; Marco Barbanti1, MD
1. Division of Cardiology, A.O.U. Policlinico “G. Rodolico-San Marco”, Catania, Italy

Transcatheter aortic valve implantation (TAVI) has revolutionised the treatment of severe, symptomatic aortic stenosis and it is now a proven and effective alternative to surgery for patients regardless of preoperative risk stratification. Nevertheless, the consequent expansion towards younger patients with longer life expectancy focuses attention on long-term considerations. In particular, although the prevalence of coronary artery disease has been shown to decrease with the lowering of estimated risk stratification, the chance of requirement of future coronary interventions after TAVI increases dramatically as a function of patients’ life expectancy. To date, however, only a few studies have investigated the feasibility and reproducibility of coronary artery cannulation after TAVI. Different conditions related mainly to aortic root anatomy and specific transcatheter aortic valve (TAV) designs and deployment have been associated with impaired coronary access after TAVI. In the present review, we will examine the conditions that may make coronary access after TAVI more challenging or even impossible.

Sign in to read and download the full article

Forgot your password?

No account yet?
Sign up for free!

Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from

tavipciTAVcoronary arteriescad
Read next article
Outcomes of valve-in-valve transcatheter aortic valve implantation with and without bioprosthetic valve fracture

Latest news