The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for valvular disease and heart failure

Intravascular ultrasound assessment of coronary ostia following valve-in-valve transcatheter aortic valve implantation

EuroIntervention 2021;16:1148-1151. DOI: 10.4244/EIJ-D-20-00611

1. Department of Medicine, Cardiology Division, University of Verona, Verona, Italy; 2. Cardiovascular Department, Humanitas Gavazzeni, Bergamo, Italy; 3. Department of Surgery, Dentistry, Paediatrics and Gynaecology, Division of Cardio-Thoracic Intensive Care, University of Verona, Verona, Italy


Introduction

The “chimney” and “BASILICA” techniques1,2 were developed to offer safe prevention of coronary artery occlusion (CAO) in case of valve-in-valve transcatheter aortic valve implantation (VIV-TAVI) in degenerated surgical bioprostheses. However, sometimes these lead to unnecessary stenting or may simply not be performed because of unfavourable anatomy. Moreover, when they are not implemented, a reassuring coronary angiogram after valve implantation may hide the risk of delayed CAO, which could occur after the removal of protective wires from coronaries3.

This study aimed to evaluate the feasibility and usefulness of intravascular ultrasound (IVUS) analysis of ...

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