What does this research mean for the field?

Q: What does this research mean for the field?

The optimal management, timing, and patient selection for coronary revascularization in patients with severe aortic stenosis and concomitant coronary artery disease undergoing transcatheter aortic valve implantation (TAVI) remains debated and requires individualized assessment. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 2018Open Access

Coronary Revascularisation in Transcatheter Aortic Valve Implantation Candidates: Why, Who, When?

Structured PICO

What is the role of coronary revascularisation in patients with severe aortic stenosis undergoing TAVI?

Population

Patients with severe aortic stenosis and concomitant coronary artery disease undergoing transcatheter aortic valve implantation (TAVI)

Intervention

Coronary revascularisation

This review summarizes current perspectives on the debated role of coronary revascularization in patients undergoing TAVI.

Abstract

Coronary artery disease (CAD) and aortic stenosis (AS) frequently coexist. The presence of CAD has been consistently associated with an impaired prognosis in patients undergoing surgical aortic valve replacement during short- and long-term follow-up. Accordingly, current guidelines recommend coronary revascularisation of all significant stenoses in patients undergoing surgical aortic valve replacement. Conversely, the management of concomitant CAD in patients with severe AS undergoing transcatheter aortic valve implantation (TAVI) is still a matter of debate. The aim of this review article is to provide an overview on the role of coronary revascularisation in TAVI patients.

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