A systematic review and meta-analysis of delayed coronary artery access for coronary angiography with or without percutaneous coronary intervention (PCI) in patients who underwent transcatheter aortic valve replacement (TAVR)

Author(s):  
Miguel A. Diaz ◽  
Marquand Patton ◽  
Pedro Valdes ◽  
Jefferson L. Vieira ◽  
Amin Rmeileh ◽  
...  
2016 ◽  
Vol 43 (5) ◽  
pp. 423-427 ◽  
Author(s):  
Sameer Arora ◽  
Amol A. Bahekar

The management of concomitant obstructive coronary artery disease and severe aortic stenosis in poor surgical candidates is an evolving topic. Although the typical current practice is to perform percutaneous revascularization before transcatheter aortic valve replacement (TAVR), some data have emerged regarding revascularization after performing TAVR. We present the case of a 90-year-old man with multivessel coronary artery disease who was at prohibitive risk for surgical aortic valve replacement. We first performed TAVR with use of hemodynamic support, then Impella-assisted multivessel percutaneous coronary intervention on the patient's unprotected left main coronary artery. We describe this complex case and review the medical literature on percutaneous coronary intervention after TAVR


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