Related Experiment Video

Updated: Aug 5, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

11.8K

Coronary angiography and percutaneous coronary intervention after transcatheter aortic valve replacement: Feasibility

Gualter Silva1, Mariana Silva1, Cláudio Guerreiro1

  • 1Department of Cardiology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|March 23, 2023
PubMed

Insights

Coronary angiography after transcatheter aortic valve replacement (TAVR) is rarely needed but feasible. Percutaneous coronary intervention (PCI) is also safely performed, demonstrating the viability of future cardiac interventions post-TAVR.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Coronary artery disease is common in severe aortic stenosis patients undergoing transcatheter aortic valve replacement (TAVR).
  • Expanding TAVR indications to younger, lower-risk patients may increase future needs for coronary angiography (CA) and percutaneous coronary intervention (PCI).

Purpose of the Study:

  • To evaluate the necessity of CA after TAVR.
  • To assess the feasibility of re-accessing coronary ostia following TAVR procedures.

Main Methods:

  • Retrospective analysis of 853 patients who underwent TAVR between August 2007 and December 2020.
  • Selection of patients requiring CA post-TAVR.
  • Primary endpoint: successful coronary ostia cannulation rate.

Main Results:

  • 31 CAs were performed in 28 patients (3.5%) post-TAVR.
  • Successful selective coronary ostia cannulation was achieved in 90% of cases.
  • Percutaneous coronary intervention (PCI) was successfully performed in all 16 indicated cases without complications.

Conclusions:

  • Coronary angiography is infrequently required after TAVR.
  • Selective diagnostic CA is achievable in most patients post-TAVR.
  • Percutaneous coronary intervention can be safely performed in patients needing it after TAVR.
Abstract

Keywords:
Angiografia coronáriaAortic valve diseaseCoronary angiographyCoronary artery diseaseDoença arterial coronáriaDoença valvular aórticaIntervenção coronária percutâneaPercutaneous coronary interventionTranscatheter aortic valve replacementVálvula aórtica percutânea

More Related Videos

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model05:31

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Published on: June 8, 2022

2.9K
Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation06:59

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Published on: June 3, 2018

10.7K

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
19
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
30
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
15
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
94