Key result
Retrograde PCI via SVG successfully manages acute left main coronary obstruction following TAVR.
Why the study?
Coronary obstruction is a critical complication after TAVR with high mortality, and its management remains challenging with few available treatment options.
Case Report (n=1)
Retrograde angioplasty and stenting via a saphenous venous graft can be a successful salvage technique for acute left main coronary obstruction complicating TAVR.
Coronary obstruction (CO) represents a rare yet critical complication following transcatheter aortic valve replacement (TAVR), characterized by significant mortality and morbidity. Computed tomography plays a pivotal role in the pre‐procedural assessment and prediction of this risk. While various techniques have been devised to mitigate the occurrence of CO, management of such complications remains challenging with few available treatment options. Herein, we present a case involving left main CO that was successfully managed through retrograde angioplasty and stenting utilizing a saphenous venous graft.
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Almerri et al. (2026) conducted a case report in Left main coronary obstruction after transcatheter aortic valve replacement (n=1). Retrograde angioplasty and stenting utilizing a saphenous venous graft was evaluated on Successful management of left main coronary obstruction. Retrograde angioplasty and stenting utilizing a saphenous venous graft successfully managed an acute left main coronary obstruction following transcatheter aortic valve replacement.
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