Predictive Factors, Management, and Clinical Outcomes of Coronary Obstruction Following Transcatheter Aortic Valve Implantation: Insights From a Large Multicenter Registry

Submitted by: Erica CurcioGold Contributor

Source: Journal of the American College of Cardiology

Keywords:

Author(s): Ribeiro HB, Webb JG, Makkar RR, Cohen MG, Kapadia S, Kodali S, Tamburino C, Barbanti M, Chakravarty T, Jilaihawi H, Paradis JM, de Brito FS Jr, Cánovas SJ, Cheema AN, de Jaegere P, Valle RD, Chiam PT, Moreno R, Pradas G, Ruel M, Salgado-Fernández J, Sarmento-Leite R, Toeg H, Velianou JL, Zajarias A, Babaliaros V, Cura F, Dager AE, Manoharan G, Lerakis S, Pichard A, Radhakrishnan S, Perin MA, Dumont E, Larose E, Pasian SG, Nombela-Franco L, Urena M, Tuzcu EM, Leon MB, Amat-Santos IJ, Leipsic J, Rodés-Cabau J.

In this manuscript, the authors review 44 cases of coronary artery obstruction following TAVI from a registry of 6688 patients. This complication is rare but life threatening. A number of variables such as older age, female gender, previous CABG, the use of balloon expandable prosthesis, previous surgical bioprosthesis, left coronary ostia height, and sinus of Valsalva diameter appear to be related to this complication.

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