Normal view MARC view ISBD view

Low Rate of Invasive Coronary Angiography Following Transcatheter Aortic Valve Implantation: Real-World Prospective Cohort Findings.

MedStar author(s):

Citation: Cardiovascular Revascularization Medicine. 28:42-49, 2021 07.PMID: 32921596Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Aortic Valve Stenosis | *Coronary Artery Disease | *Percutaneous Coronary Intervention | *Transcatheter Aortic Valve Replacement | Aged | Aged, 80 and over | Aortic Valve Stenosis/dg [Diagnostic Imaging] | Aortic Valve Stenosis/su [Surgery] | Aortic Valve/dg [Diagnostic Imaging] | Aortic Valve/su [Surgery] | Coronary Angiography | Coronary Artery Disease/dg [Diagnostic Imaging] | Coronary Artery Disease/su [Surgery] | Female | Humans | Percutaneous Coronary Intervention/ae [Adverse Effects] | Prospective Studies | Risk Factors | Transcatheter Aortic Valve Replacement/ae [Adverse Effects] | Treatment OutcomeYear: 2021 Local holdings: Available in print through MWHC library: 2002 - presentISSN:

1878-0938

Name of journal: Cardiovascular revascularization medicine : including molecular interventionsAbstract: AIM: To evaluate the real need for coronary access after transcatheter aortic valve implantation (TAVI).CONCLUSION: In this population, a strategy of previous guideline guided revascularization before transcatheter aortic valve implantation was associated with a low rate of myocardial infarction and repeated need of coronary access, with a scattered distribution over time. Assuring future access to coronary arteries in patients at increased risk may depend on the revascularization strategy rather than device selection. Copyright (c) 2020. Published by Elsevier Inc.METHODS AND RESULTS: Prospective observational single center registry, including 563 consecutive patients that underwent TAVI between April 2008 and November 2018, with both self and balloon expandable valves in a tertiary European center. Mean age was 82.4+/-6.9years, 53.3% were female, 16% had previous history of CABG, 33% of previous PCI and 16.6% of MI. Twenty four percent of the patients were revascularized within one year before TAVI in preparation for the procedure. Median STS Score was 4.82 (IQ 2.84). In a median follow up of 24months (IQ 21.5), 18 patients (3.2%) were identified as potentially in need for ICA: 9 (1.6%) in the setting of stable coronary artery disease and 9 (1.6%) for an acute coronary syndrome. A total of 11 PCI were performed in 9 patients, with a complete success rate of 63.6%. Procedures that were unsuccessful or partially unsuccessful were due to the inability to cross the stent or the drug eluting balloon through the valve struts or misplacement within the coronary artery due to lack of catheter's support.All authors: Brito J, Campante Teles R, de Araujo Goncalves P, de Sousa Almeida M, Felix de Oliveira A, Garcia-Garcia HM, Goncalves M, Mendes M, Mesquita Gabriel H, Neves JP, Nolasco T, Raposo LOriginally published: Cardiovascular Revascularization Medicine. 2020 Aug 03Fiscal year: FY2022Digital Object Identifier:

https://dx.doi.org/10.1016/j.carrev.2020.07.030

Date added to catalog: 2020-10-06

Holdings ( 1 )
Title notes ( 5 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	32921596	Available		32921596

Available in print through MWHC library: 2002 - present

AIM: To evaluate the real need for coronary access after transcatheter aortic valve implantation (TAVI).

CONCLUSION: In this population, a strategy of previous guideline guided revascularization before transcatheter aortic valve implantation was associated with a low rate of myocardial infarction and repeated need of coronary access, with a scattered distribution over time. Assuring future access to coronary arteries in patients at increased risk may depend on the revascularization strategy rather than device selection. Copyright (c) 2020. Published by Elsevier Inc.

METHODS AND RESULTS: Prospective observational single center registry, including 563 consecutive patients that underwent TAVI between April 2008 and November 2018, with both self and balloon expandable valves in a tertiary European center. Mean age was 82.4+/-6.9years, 53.3% were female, 16% had previous history of CABG, 33% of previous PCI and 16.6% of MI. Twenty four percent of the patients were revascularized within one year before TAVI in preparation for the procedure. Median STS Score was 4.82 (IQ 2.84). In a median follow up of 24months (IQ 21.5), 18 patients (3.2%) were identified as potentially in need for ICA: 9 (1.6%) in the setting of stable coronary artery disease and 9 (1.6%) for an acute coronary syndrome. A total of 11 PCI were performed in 9 patients, with a complete success rate of 63.6%. Procedures that were unsuccessful or partially unsuccessful were due to the inability to cross the stent or the drug eluting balloon through the valve struts or misplacement within the coronary artery due to lack of catheter's support.

English