Coronary Risk in Transcatheter Aortic Valve Replacement, Overview of Data, Challenges, and Best Practices.
Cardiol Clin
; 42(3): 361-371, 2024 Aug.
Article
em En
| MEDLINE
| ID: mdl-38910021
ABSTRACT
Coronary artery obstruction is a rare complication of transcatheter aortic valve replacement (TAVR). This risk increases in TAVR-valve-in-valve procedure. Several anatomic risk factors were described in many studies to identify the predictive elements of coronary artery occlusion on computed tomography cardiac scan. Rescue percutaneous coronary intervention was the first approach described to treat this complication with a high mortality rate. Later on, preventive chimney stenting technique was evaluated and results showed that is a safe and effective strategy but it leads to a difficult coronary access later. New preventive techniques are being evaluated recently (Basilica and Shorctut).
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estenose da Valva Aórtica
/
Oclusão Coronária
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Substituição da Valva Aórtica Transcateter
Limite:
Humans
Idioma:
En
Revista:
Cardiol Clin
/
Cardiol. clin. (Phila.)
/
Cardiology clinics (Philadelphia)
Ano de publicação:
2024
Tipo de documento:
Article
País de publicação:
Holanda