Related Experiment Video

Updated: Oct 17, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

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[Challenges of coronary catheterization after TAVR]

I V Simon1, F De Poli1, P Couppié1

  • 1Service de Cardiologie, Centre Hospitalier Haguenau, 67 Avenue du Professeur René Leriche, 67500, Haguenau.

Annales De Cardiologie Et D'Angeiologie
|October 12, 2021
PubMed

Insights

Coronary catheterization after transcatheter aortic valve implantation (TAVR) is feasible. While successful in all Sapien 3 patients, some challenges occurred with Evolut valves, requiring specific implantation techniques.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • Coronary catheterization post-transcatheter aortic valve implantation (TAVR) presents unique challenges.
  • Assessing the feasibility of coronary interventions after TAVR is crucial for patient management.

Purpose of the Study:

  • To evaluate the feasibility of coronary catheterization and angioplasty following TAVR, comparing different valve types.
  • To identify potential difficulties and success rates associated with specific TAVR devices.

Main Methods:

  • Retrospective analysis of coronary angiography/angioplasty procedures in two centers after TAVR.
  • Evaluation of catheterization success based on ostial engagement and artery opacification.
  • Collection of procedural data including catheter types, fluoroscopy time, and contrast volume.

Main Results:

  • Out of 1512 TAVR cases, 33 patients underwent coronary procedures (22 Sapien 3®, 11 Evolut®).
  • Coronary angiography was successful in all Sapien 3® valve patients.
  • The Evolut® group experienced 3 right and 1 left coronary non-selective catheterization events.

Conclusions:

  • Coronary catheterization post-TAVR shows promising success rates, nearing 100%.
  • Supra-annular Evolut® valves may present specific challenges requiring careful implantation and sinus cusp orientation.
  • Standard Judkins catheters demonstrated high efficiency for both valve types.
Abstract

Keywords:
TAVITAVRangioplastie coronairecathétercoronairecathétérisme coronairecoronary angioplastycoronary cathetercoronary catheterizationmicro cathetermicrocathéterremplacement aortique par voie percutanéetranscatheter aortic valve implantation

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