Bail out lithotripsy to treat delayed valve‐in‐valve TAVR‐related coronary obstruction

Coronary access difficulty and stent compression by the juxtaposed aortic valve leaflet hamper percutaneous management of delayed coronary artery obstruction (CAO) after valve‐in‐valve (Edwards Sapien 3 in St. Jude Trifecta) transcatheter aortic valve replacement (TAVR). Here, we present a case of d...

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Detalles Bibliográficos
Autores principales: Bingen, Brian O., Al Amri, Ibtihal, Montero‐Cabezas, Jose M., van der Kley, Frank
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Coronary Artery Disease
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099844/
https://www.ncbi.nlm.nih.gov/pubmed/36385465
http://dx.doi.org/10.1002/ccd.30483
Descripción
Sumario:Coronary access difficulty and stent compression by the juxtaposed aortic valve leaflet hamper percutaneous management of delayed coronary artery obstruction (CAO) after valve‐in‐valve (Edwards Sapien 3 in St. Jude Trifecta) transcatheter aortic valve replacement (TAVR). Here, we present a case of delayed post‐TAVR CAO treated with intravascular lithotripsy and multistenting to overcome stent compression by the adjacent calcified leaflet.

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