Feasibility of Cardiac Computerized Tomography Angiography in Excluding Significant Coronary Artery Disease and Clinical Safety in Patients Undergoing Transcatheter Aortic Valve Replacement

2021 ◽  
Vol 28 ◽  
pp. S39
Author(s):  
Wah W. Htun ◽  
Sherry Trudo ◽  
Raju Ailiani
2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Majid Ahsan ◽  
Rolf Alexander Jánosi ◽  
Tienush Rassaf ◽  
Alexander Lind

Abstract Background Patients with severe aortic stenosis (AS) often present with multiple comorbidities and suffer from critical coronary artery disease (CAD). Transcatheter aortic valve replacement (TAVR) has become the therapy of choice for moderate to high-risk patients. Venoarterial extracorporeal membrane oxygenation (v-a-ECMO) offers the possibility of temporary cardiac support to manage life-threatening critical situations. Case summary Here, we describe the management of a patient with severe AS and CAD with impaired left ventricular ejection fraction (LVEF). We used v-a-ECMO as an emergency strategy in cardiogenic shock during a high-risk coronary intervention to stabilize the patient, and as a further bridge to TAVR. Discussion Very high-risk patients with severe AS are unlikely to tolerate the added risk of surgical aortic valve replacement. Using ECMO may help them to benefit from TAVR as the only treatment option available.


2017 ◽  
Vol 40 (12) ◽  
pp. 1316-1322 ◽  
Author(s):  
Etienne Puymirat ◽  
Romain Didier ◽  
Hélène Eltchaninoff ◽  
Bernard Lung ◽  
Jean-Philippe Collet ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document