Electrocautery-assisted re-entry to resolve bilateral aorto-ostial chronic total occlusions due to leaflet obstruction following transcatheter aortic valve replacement

Jesse Kane, Kathleen E. Kearney, William L. Lombardi, Lorenzo Azzalini

Research output: Contribution to journalArticlepeer-review

Abstract

Coronary artery obstruction is a rare but life-threatening complication of transcatheter aortic valve replacement (TAVR). While urgent percutaneous coronary intervention has been described in cases of acute occlusion, little is known about the interventional management of obstruction once it has occurred in the chronic setting. We describe a case in which electrocautery-assisted re-entry was successfully utilized to manage the right coronary artery and left main chronic total occlusion due to leaflet-induced coronary artery obstruction after TAVR.

Original languageEnglish
Pages (from-to)489-494
Number of pages6
JournalCatheterization and Cardiovascular Interventions
Volume102
Issue number3
DOIs
StatePublished - 1 Sep 2023
Externally publishedYes

Keywords

  • CTO
  • CTO—percutaneous coronary intervention
  • PCIC—percutaneous coronary intervention
  • PCI—percutaneous coronary intervention
  • complex PCI

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