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Electrocirugía Transcatéter para Acceso Coronario después de TAVI-en-TAVI

Dyhia Zourane¹, Benjamin Benharoun¹, Jérémie Abtan¹

¹Department of Cardiology, Bichat Claude Bernard Hospital-Paris City University, Paris, France.

JACC. Case reports

|January 19, 2026

Resumen

La electrocirugía perforó con éxito una neo-falda, restaurando el acceso coronario después de la implantación transcatéter de válvula aórtica (TAVI) en TAVI. Esta técnica novedosa es crucial a medida que aumentan los procedimientos de TAVI en TAVI.

Área de la Ciencia:

Cardiología
Cardiología Intervencionista
Dispositivos Médicos

Sus antecedentes:

La implantación transcatéter de válvula aórtica (TAVI) es un procedimiento en crecimiento.
Las reintervenciones de TAVI-en-TAVI están aumentando, lo que plantea desafíos.
La formación de neo-faldas después de TAVI-en-TAVI puede obstruir el acceso coronario.

Objetivo del estudio:

Informar sobre un método novedoso para restaurar el acceso coronario después de TAVI-en-TAVI.
Demostrar la seguridad y eficacia de la perforación electroquirúrgica de la neo-falda.

Principales métodos:

Un paciente con TAVI-en-TAVI previo experimentó obstrucción coronaria debido a la formación de neo-falda.
Se empleó electrocirugía transcatéter utilizando una guía energizada para perforar la neo-falda.
Se realizó una intervención coronaria percutánea con stent después de una perforación exitosa.

Principales resultados:

El cateterismo selectivo de las coronarias fue inicialmente imposible debido a la obstrucción completa de la neo-falda.
La perforación electroquirúrgica de la neo-falda restauró con éxito el acceso coronario.
Se completó la intervención coronaria percutánea con excelentes resultados.

Conclusiones:

La electrocirugía proporciona un método seguro para la perforación de la neo-falda.
Esta técnica permite la revascularización coronaria en casos desafiantes de TAVI-en-TAVI.
La perforación electroquirúrgica de la neo-falda es una estrategia vital para el aumento de los procedimientos de TAVI-en-TAVI.

Palabras clave:

estenosis aórtica acceso coronario electrocirugía intervención coronaria percutánea intervención estructural cardíaca válvula aórtica en válvula aórtica

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