How to Avoid Coronary Occlusion During TAVR Valve-in-Valve Procedures

Transcatheter aortic valve-in-valve replacement has been recently reported as a less-invasive alternative to re-do surgery in patients with bioprosthetic valve failure. Although procedural success is achieved in the great majority of patients, this therapy is associated with several potential compli...

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Main Authors: Roberto Valvo, Giuliano Costa, Marco Barbanti
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-11-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fcvm.2019.00168/full
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spelling doaj-3ecd37865f104f0aa3e5b116654646432020-11-25T01:47:13ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2019-11-01610.3389/fcvm.2019.00168472638How to Avoid Coronary Occlusion During TAVR Valve-in-Valve ProceduresRoberto ValvoGiuliano CostaMarco BarbantiTranscatheter aortic valve-in-valve replacement has been recently reported as a less-invasive alternative to re-do surgery in patients with bioprosthetic valve failure. Although procedural success is achieved in the great majority of patients, this therapy is associated with several potential complications, and coronary occlusion is one of the most feared. This is a rare event, but it is associated with an extremely poor prognosis. In this review, the mechanisms, the identification of patients at high risk, the primary prevention strategies, and treatment of coronary occlusion will be discussed.https://www.frontiersin.org/article/10.3389/fcvm.2019.00168/fullTAVRvalve-in-valvecoronary occlusioncoronary protectionBASILICA
collection DOAJ
language English
format Article
sources DOAJ
author Roberto Valvo
Giuliano Costa
Marco Barbanti
spellingShingle Roberto Valvo
Giuliano Costa
Marco Barbanti
How to Avoid Coronary Occlusion During TAVR Valve-in-Valve Procedures
Frontiers in Cardiovascular Medicine
TAVR
valve-in-valve
coronary occlusion
coronary protection
BASILICA
author_facet Roberto Valvo
Giuliano Costa
Marco Barbanti
author_sort Roberto Valvo
title How to Avoid Coronary Occlusion During TAVR Valve-in-Valve Procedures
title_short How to Avoid Coronary Occlusion During TAVR Valve-in-Valve Procedures
title_full How to Avoid Coronary Occlusion During TAVR Valve-in-Valve Procedures
title_fullStr How to Avoid Coronary Occlusion During TAVR Valve-in-Valve Procedures
title_full_unstemmed How to Avoid Coronary Occlusion During TAVR Valve-in-Valve Procedures
title_sort how to avoid coronary occlusion during tavr valve-in-valve procedures
publisher Frontiers Media S.A.
series Frontiers in Cardiovascular Medicine
issn 2297-055X
publishDate 2019-11-01
description Transcatheter aortic valve-in-valve replacement has been recently reported as a less-invasive alternative to re-do surgery in patients with bioprosthetic valve failure. Although procedural success is achieved in the great majority of patients, this therapy is associated with several potential complications, and coronary occlusion is one of the most feared. This is a rare event, but it is associated with an extremely poor prognosis. In this review, the mechanisms, the identification of patients at high risk, the primary prevention strategies, and treatment of coronary occlusion will be discussed.
topic TAVR
valve-in-valve
coronary occlusion
coronary protection
BASILICA
url https://www.frontiersin.org/article/10.3389/fcvm.2019.00168/full
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