Coronary artery disease (CAD) and aortic stenosis (AS) frequently coexist. The presence of CAD has been consistently associated with an impaired prognosis in patients undergoing surgical aortic valve replacement during short- and long-term follow-up. Accordingly, current guidelines recommend coronary revascularisation of all significant stenoses in patients undergoing surgical aortic valve replacement. Conversely, the management of concomitant CAD in patients with severe AS undergoing transcatheter aortic valve implantation (TAVI) is still a matter of debate. The aim of this review article is to provide an overview on the role of coronary revascularisation in TAVI patients.

Coronary Revascularisation in Transcatheter Aortic Valve Implantation Candidates: Why, Who, When?

Cao, Davide;Chiarito, Mauro;Stefanini, Giulio G
2018

Abstract

Coronary artery disease (CAD) and aortic stenosis (AS) frequently coexist. The presence of CAD has been consistently associated with an impaired prognosis in patients undergoing surgical aortic valve replacement during short- and long-term follow-up. Accordingly, current guidelines recommend coronary revascularisation of all significant stenoses in patients undergoing surgical aortic valve replacement. Conversely, the management of concomitant CAD in patients with severe AS undergoing transcatheter aortic valve implantation (TAVI) is still a matter of debate. The aim of this review article is to provide an overview on the role of coronary revascularisation in TAVI patients.
Concomitant PCI
Syntax Score
coronary artery disease
percutaneous coronary intervention
severe aortic stenosis
staged PCI
transcatheter aortic valve implantation
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11699/69707
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