Long-term risk of unplanned percutaneous coronary intervention after transcatheter aortic valve replacement.

ABSTRACT:

Background

Coronary access after transcatheter aortic valve replacement (TAVR) can be challenging and complicate percutaneous coronary intervention (PCI).

Aims

We aimed to investigate the incidence, characteristics, and predictors of unplanned PCI after TAVR.

Methods

In a single-centre registry, TAVR candidates were systematically screened for concomitant coronary artery disease (CAD) through the use of coronary angiography prior to TAVR. Rates of unplanned PCI were prospectively collected and independently adjudicated.

Results

Among 3,015 patients undergoing TAVR between August 2007 and December 2020, 67 patients (2.2%) underwent unplanned PCI after TAVR. The indication for unplanned PCI was acute coronary syndrome in more than half of the cases. Patients with

SUBMITTER: Okuno T 

PROVIDER: S-EPMC9725053 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature