Coronary Assessment and Revascularization Before Transcutaneous Aortic Valve Implantation: An Update on Current Knowledge
Muhammad Sabbah, Thomas Engstrøm, Ole De Backer, Lars Søndergaard, Jacob Lønborg
Abstract
Transcutaneous aortic valve implantation (TAVI) has led to a paradigm shift in the treatment of severe aortic stenosis (AS) in the elderly and is expanding to still younger and lower-risk patients with severe AS as an alternative to surgical aortic valve replacement (SAVR). While the role of coronary artery bypass grafting with SAVR is well-documented, the analog of percutaneous coronary intervention with TAVI is less so. The aim of this review is to provide an overview of the important challenges in treating severe AS and co-existing coronary artery disease in patients planned for TAVI.
Topics & Concepts
MedicineAortic valve replacementCardiologyInternal medicinePercutaneous coronary interventionStenosisBypass graftingRevascularizationCoronary artery diseasePercutaneousArteryMyocardial infarctionCardiac Valve Diseases and TreatmentsInfective Endocarditis Diagnosis and ManagementCoronary Interventions and Diagnostics