TY  - BOOK
AU  - Medranda, Giorgio
AU  - Rogers, Toby
TI  - Risk and Mitigation of Coronary Obstruction in Transcatheter Aortic Valve Replacement. [Review]
SN  - 2211-7458
PY  - 2021///
KW  - *Bioprosthesis
KW  - *Coronary Occlusion
KW  - *Heart Valve Prosthesis
KW  - *Transcatheter Aortic Valve Replacement
KW  - Coronary Occlusion/et [Etiology]
KW  - Coronary Occlusion/pc [Prevention & Control]
KW  - Humans
KW  - Prosthesis Design
KW  - Transcatheter Aortic Valve Replacement/ae [Adverse Effects]
KW  - Treatment Outcome
KW  - MedStar Heart & Vascular Institute
KW  - MedStar Washington Hospital Center
KW  - Advanced Cardiac Catheterization Research Fellowship
KW  - Journal Article
KW  - Review
N2  - Acute coronary artery occlusion is a rare but devastating complication of transcatheter aortic valve replacement. Coronary obstruction is angiographic evidence of a new-partial or complete-obstruction of a coronary artery. Key factors identifying patients at risk are aortic root anatomy, type of aortic valve, and type of transcatheter heart valve. Techniques to prevent coronary obstruction include intentional leaflet laceration. If acute coronary obstruction does occur, bailout stenting can be challenging and conversion to emergent open heart surgery may be required, both of which are associated with high morbidity and mortality. Copyright (c) 2021 Elsevier Inc. All rights reserved
UR  - https://dx.doi.org/10.1016/j.iccl.2021.05.004
ER  -