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Expanding TAVI options: elective rotational atherectomy during trans-catheter aortic valve implantation

Anna Piccoli1, Mattia Lunardi1, Sara Ariotti1

  • 1Division of Cardiology of the Department of Medicine, University of Verona, Verona, Italy.

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|December 30, 2014
PubMed

Insights

Trans-catheter aortic valve implantation (TAVI) may require rotational atherectomy (RA) for complex coronary artery disease (CAD) in elderly patients with aortic valve stenosis (AVS). This study explores the feasibility and safety of performing RA during TAVI procedures.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Geriatric Cardiology

Background:

  • Aortic valve stenosis (AVS) frequently coexists with coronary artery disease (CAD) in elderly patients.
  • The necessity of coronary intervention during trans-catheter aortic valve implantation (TAVI) remains unclear.
  • Complex CAD often necessitates advanced techniques like rotational atherectomy (RA).

Observation:

  • This study investigates the feasibility and safety of performing RA during TAVI.
  • A series of RA cases performed in conjunction with TAVI is presented.
  • The complex nature of CAD in elderly patients with calcific AVS is highlighted.

Findings:

  • Rotational atherectomy (RA) can be performed during TAVI procedures.
  • The feasibility and safety data for RA during TAVI are currently limited.
  • The need for myocardial revascularization in TAVI candidates is discussed.

Implications:

  • This research addresses a gap in knowledge regarding combined TAVI and RA procedures.
  • Findings may inform clinical decision-making for TAVI patients with complex CAD.
  • Further studies are warranted to establish definitive safety and efficacy profiles.

Keywords:
Aortic valve stenosisCatheter-based coronary interventionsRotational atherectomyTrans-catheter aortic valve implantation

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