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

被引：92

作者：

Tarantini, Giuseppe ^{[1
]}

Tang, Gilbert ^{[2
]}

Fovino, Luca Nai ^{[1
]}

Blackman, Daniel ^{[3
]}

Van Mieghem, Nicolas M. ^{[4
]}

Kim, Won-Keun ^{[5
]}

Karam, Nicole ^{[6
]}

Carrilho-Ferreira, Pedro ^{[7
,8
]}

Fournier, Stephane ^{[9
]}

Pregowski, Jerzy ^{[10
]}

Fraccaro, Chiara ^{[1
]}

Vincent, Flavien ^{[11
]}

Teles, Rui Campante ^{[12
]}

Mylotte, Darren ^{[13
]}

Wong, Ivan ^{[14
]}

Bieliauskas, Gintautas ^{[14
]}

Czerny, Martin ^{[15
]}

Bonaros, Nikolaos ^{[16
]}

Parolari, Alessandro ^{[17
,18
]}

Dudek, Darius ^{[19
,20
]}

Tchetche, Didier ^{[21
]}

Eltchaninoff, Helene ^{[22
]}

De Backer, Ole ^{[14
]}

Stefanini, Giulio ^{[23
]}

Sondergaard, Lars ^{[14
]}

机构：

[1] Univ Padua, Dept Cardiac Thorac & Vasc Sci & Publ Hlth, Padua, Italy

[2] Mt Sinai Hlth Syst, Dept Cardiovasc Surg, New York, NY USA

[3] Univ Leeds, Leeds Teaching Hosp NHS Trust, Leeds, W Yorkshire, England

[4] Erasmus MC, Thoraxctr, Rotterdam, Netherlands

[5] Kerckhoff Heart Ctr, Bad Nauheim, Germany

[6] Hop Europeen Georges Pompidou, Dept Cardiol, Paris, France

[7] Hosp Santa Maria, CHULN, Serv Cardiol, Lisbon, Portugal

[8] Univ Lisbon, Fac Lisbon, Ctr Cardiol, Ctr Acad Med Lisboa, Lisbon, Portugal

[9] Lausanne Univ Ctr Hosp, Lausanne, Switzerland

[10] Natl Inst Cardiol, Warsaw, Poland

[11] CHRU Lille, Div Cardiol, Lille, France

[12] Hosp Santa Cruz, Nova Med Sch, CEDOC, Lisbon, Portugal

[13] Univ Hosp Galway, Dept Cardiol, Galway, Ireland

[14] Univ Copenhagen, Rigshosp, Dept Cardiol, Copenhagen, Denmark

[15] Univ Heart Ctr Freiburg Bad Krozingen, Bad Krozingen, Germany

[16] Med Univ Innsbruck, Dept Cardiac Surg, Innsbruck, Austria

[17] Univ Milan, Dept Biomed Sci Hlth, Milan, Italy

[18] Policlin San Donato IRCCS, Univ Cardiac Surg, Milan, Italy

[19] Jagiellonian Univ, Inst Cardiol, Coll Med, Krakow, Poland

[20] Maria Cecilia Hosp, GVM Care & Res, Cotignola Ra, Ravenna, Italy

[21] Clin Pasteur, Toulouse, France

[22] CHU Rouen, Dept Cardiol, Rouen, France

[23] Humanitas Univ, IRCCS Humanitas Res Hosp, Dept Biomed Sci, Rozzano Milan, Italy

来源：

EUROINTERVENTION | 2023年 / 19卷 / 01期

关键词：

aortic stenosis; coronary artery disease; TAVI; TAVR-IN-TAVR; COMMISSURAL ALIGNMENT; HEART-VALVES; REPLACEMENT; STENOSIS; ACCESS; RISK; OUTCOMES; REVASCULARIZATION; ORIENTATION;

D O I：

10.4244/EIJ-D-22-00958

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：37 / 52

页数：16

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