Coronary re-access after redo TAVI: a proposed classification to simplify evaluation

EuroIntervention 2020;16:e960-e962. DOI: 10.4244/EIJV16I12A176

Gilbert Tang
Gilbert H.L. Tang1, MD, MSc, MBA; Syed Zaid2, MD
1. Department of Cardiovascular Surgery, Mount Sinai Health System, New York, NY, USA; 2. Division of Cardiology, Westchester Medical Center, Valhalla, NY, USA

Transcathether aortic valve implantation (TAVI) has been approved in patients with symptomatic severe aortic stenosis across all surgical risk profiles. As TAVI expands to younger and lower-risk patients, the prevalence of haemodynamically significant coronary artery disease (CAD) in patients with aortic stenosis undergoing TAVI is decreasing compared to their geriatric counterparts. However, younger patients with longer life expectancies have a greater cumulative risk of progression of CAD and acute coronary syndrome, requiring diagnostic angiography and therapeutic intervention. While considerable advances have been made in optimising procedural techniques to ameliorate limitations associated with the current TAVR technology, coronary access after ...

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