Why the study?
Is percutaneous coronary intervention feasible and safe in patients with a previous CoreValve percutaneous aortic valve?
Is percutaneous coronary intervention feasible and safe in patients with a previous CoreValve percutaneous aortic valve?
This case report demonstrates that percutaneous coronary intervention, including multivessel stenting, is feasible and safe in patients with a previously implanted CoreValve percutaneous aortic valve.
Supports PCI feasibility post-CoreValve in select cases; leaves open safety, reproducibility, and generalizability for prospective study.
BACKGROUND: The association between aortic valve disease and coronary atherosclerosis is common. In the recent era of percutaneous aortic valve replacement (PAVR), there is little experience with coronary artery intervention after valve implantation. CASE REPORT: To our knowledge, this is the first case of successful percutaneous coronary intervention after implantation of a CoreValve percutaneous aortic valve. We report a case of a 79-year-old female patient who underwent successful coronary artery intervention few months after a CoreValve's percutaneous implantation for severe aortic valve stenosis. Verifying the position of the used wires (crossing from inside the self expanding frame) is of utmost importance before proceeding to coronary intervention. In this case, crossing the aortic valve, coronary angiography, and multivessel stenting were successfully performed. CONCLUSION: Percutaneous coronary intervention in patients with previous CoreValve is feasible and safe.
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Geist et al. (2008) studied this question.
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