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Coronary Artery Obstruction After Transcatheter Aortic Valve Implantation: Past, Present, and Future.
Ibrahim, Homam; Chaus, Adib; Alkhalil, Ahmed; Prescher, Lindsey; Kleiman, Neal.
Afiliação
  • Ibrahim H; Adventist Healthcare White Oak, Silver Spring, MD (H.I., L.P.).
  • Chaus A; Advocate Lutheran General Hospital, Chicago, IL (A.C.).
  • Alkhalil A; Renaissance School of Medicine at Stony Brook University, Stony Brook Medicine, Commack, NY (A.A.).
  • Prescher L; Adventist Healthcare White Oak, Silver Spring, MD (H.I., L.P.).
  • Kleiman N; Houston Methodist DeBakey Heart and Vascular Center, Houston, TX (N.K.).
Circ Cardiovasc Interv ; 17(6): e012827, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38818724
ABSTRACT
Coronary obstruction (CO) is a rare but critical complication of transcatheter aortic valve implantation. It is associated with significant morbidity and mortality. This comprehensive review elucidates the evolving landscape of CO risk assessment and management strategies in the contemporary era of transcatheter aortic valve implantation. Drawing upon recent advances in computed tomography angiography, we delve into the nuanced evaluation of anatomic parameters crucial for predicting CO risk. Furthermore, this review explores the utility of interventional and surgical techniques, including chimney stenting and leaflet modification systems, in mitigating CO complications. In summary, this review serves as a practical guide for clinicians navigating the complexities of CO prevention and management in the evolving landscape of transcatheter aortic valve implantation, with the goal of optimizing patient outcomes and ensuring procedural success.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Estenose da Valva Aórtica / Oclusão Coronária / Substituição da Valva Aórtica Transcateter Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Estenose da Valva Aórtica / Oclusão Coronária / Substituição da Valva Aórtica Transcateter Idioma: En Ano de publicação: 2024 Tipo de documento: Article