Clinical and Technical Characteristics of Coronary Angiography and Percutaneous Coronary Interventions Performed before and after Transcatheter Aortic Valve Replacement with a Balloon-Expandable Valve
Joint Authors
Ferreira-Neto, Alfredo Nunes
Puri, Rishi
Asmarats, Lluis
Vilalta, Victoria
Guimaraes, Leonardo
Delarochellière, Robert
Paradis, Jean-Michel
Mohammadi, Siamak
Dumont, Eric
Rodés-Cabau, Josep
Source
Journal of Interventional Cardiology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-08-08
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objectives.
To report on the feasibility and technical differences between coronary procedures performed before and after TAVR with the balloon-expandable Edwards-SAPIEN or the SAPIEN XT valves.
Background.
Coronary artery disease (CAD) and aortic stenosis often coexist.
Transcatheter aortic valve replacement (TAVR) is emerging as a treatment for younger and lower surgical risk patients who might not present with clinically evident CAD before TAVR.
The demand for performing post-TAVR coronary angiograms (CAs) and percutaneous coronary interventions (PCIs) will thus increase, posing new technical challenges.
Methods.
Over 1000 TAVRs were performed at the Quebec Heart and Lung Institute, of which 616 with the abovementioned valves.
Of these, 28 patients had an analyzable pre- and post-TAVR CAs and 13 patients had pre- and post-TAVR PCIs performed.
Procedural characteristics were gathered from all coronary procedures and subsequently compared amongst the same type of procedure performed at these two distinct time periods.
Results.
Neither CAs‐nor PCIs‐performed after valve implantation revealed significant differences regarding arterial access site, catheter diameter, number of diagnostic or guiding catheters used, procedural duration, fluoroscopy time, or achievement of selective coronary injection.
Lesion location and classification, as well as the preference of using a drug-eluting stent, remained unchanged.
During post-TAVR CA, the amount of contrast delivered and the radiation dose area product were significantly lower compared with pre-TAVR CA values.
Conclusions.
Performance of CA and PCI after TAVR with a balloon-expandable valve appears unaffected by its presence.
American Psychological Association (APA)
Ferreira-Neto, Alfredo Nunes& Puri, Rishi& Asmarats, Lluis& Vilalta, Victoria& Guimaraes, Leonardo& Delarochellière, Robert…[et al.]. 2019. Clinical and Technical Characteristics of Coronary Angiography and Percutaneous Coronary Interventions Performed before and after Transcatheter Aortic Valve Replacement with a Balloon-Expandable Valve. Journal of Interventional Cardiology،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1181222
Modern Language Association (MLA)
Ferreira-Neto, Alfredo Nunes…[et al.]. Clinical and Technical Characteristics of Coronary Angiography and Percutaneous Coronary Interventions Performed before and after Transcatheter Aortic Valve Replacement with a Balloon-Expandable Valve. Journal of Interventional Cardiology No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1181222
American Medical Association (AMA)
Ferreira-Neto, Alfredo Nunes& Puri, Rishi& Asmarats, Lluis& Vilalta, Victoria& Guimaraes, Leonardo& Delarochellière, Robert…[et al.]. Clinical and Technical Characteristics of Coronary Angiography and Percutaneous Coronary Interventions Performed before and after Transcatheter Aortic Valve Replacement with a Balloon-Expandable Valve. Journal of Interventional Cardiology. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1181222
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1181222