Management of coronary artery disease in patients undergoing transcatheter aortic valve implantation. A clinical consensus statement from the European Association of Percutaneous Cardiovascular Interventions in collaboration with the ESC Working Group on Cardiovascular Surgery

Giuseppe Tarantini, Gilbert Tang, Luca Nai Fovino, Daniel Blackman, Nicolas M. Van Mieghem, Won Keun Kim, Nicole Karam, Pedro Carrilho-Ferreira, Stephane Fournier, Jerzy Prȩgowski, Chiara Fraccaro, Flavien Vincent, Rui Campante Teles, Darren Mylotte, Ivan Wong, Gintautas Bieliauskas, Martin Czerny, Nikolaos Bonaros, Alessandro Parolari, Darius DudekDidier Tchétché, Hélène Eltchaninoff, Ole De Backer, Giulio Stefanini, Lars Sondergaard

Research output: Contribution to journalArticlepeer-review

68 Scopus citations

Abstract

Significant coronary artery disease (CAD) is a frequent finding in patients with severe aortic stenosis undergoing transcatheter aortic valve implantation (TAVI), and the management of these two conditions becomes of particular importance with the extension of the procedure to younger and lower-risk patients. Yet, the preprocedural diagnostic evaluation and the indications for treatment of significant CAD in TAVI candidates remain a matter of debate. In this clinical consensus statement, a group of experts from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the European Society of Cardiology (ESC) Working Group on Cardiovascular Surgery aims to review the available evidence on the topic and proposes a rationale for the diagnostic evaluation and indications for percutaneous revascularisation of CAD in patients with severe aortic stenosis undergoing transcatheter treatment. Moreover, it also focuses on commissural alignment of transcatheter heart valves and coronary re-access after TAVI and redo-TAVI.

Original languageEnglish
Pages (from-to)37-52
Number of pages16
JournalEuroIntervention
Volume19
Issue number1
DOIs
StatePublished - May 2023

Keywords

  • TAVI
  • aortic stenosis
  • coronary artery disease

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