Key result
Coronary access after transcatheter aortic valve implantation requires specific optimization strategies to overcome hindering risk factors, particularly in younger, lower-risk patients.
Why the study?
Coronary access after TAVI is increasingly important as younger, lower-surgical-risk patients undergo the procedure.
Provides a practical guide and reviews evidence for optimizing coronary access in patients who have previously undergone TAVI.
Coronary access after TAVI needs proactive planning in younger patients; review extends guidance but leaves optimal strategies open for validation.
Access for coronary angiogram and intervention after transcatheter aortic valve implantation (TAVI) is gaining importance with a greater proportion of younger, lower-surgical-risk patients undergoing TAVI. We review current evidence available for coronary access after TAVI and risk factors that hinder such access, and provide a practical guide to optimising coronary access after TAVI.
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Yap et al. (2023) studied this question. Coronary access after transcatheter aortic valve implantation requires specific optimization strategies to overcome hindering risk factors, particularly in younger, lower-risk patients.
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