PCI of bystander coronary artery lesions should be performed before TAVI: pros and cons

EuroIntervention 2022;18:783-785. DOI: 10.4244/EIJ-E-22-00038

Ignacio Amat-Santos
Ignacio J. Amat-Santos1, MD, PhD; Sara Blasco-Turrión1, MD; Valeria Ferrero2, MD; Flavio L. Ribichini2, MD
1. Department of Interventional Cardiology, University Clinic Hospital, Valladolid, Spain; 2. Division of Cardiology, Department of Medicine, University of Verona, Verona, Italy
Pros: PCI pre-TAVI, better safe than sorry Ignacio J. Amat-Santos, MD, PhD; Sara Blasco-Turrión, MD

In stable patients, percutaneous coronary intervention (PCI) of severe lesions in the proximal coronary arteries before transcatheter aortic valve implantation (TAVI) has been the empirical approach for patients with severe aortic stenosis who are deemed candidates for percutaneous treatment. Despite the lack of evidence for this order at the dawning of TAVI, some reasons that are still valid supported such an approach. First, it was intuitively considered that if the coronary ostia were below the upper part of the prosthesis’ stent ...

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