Coronary Revascularization in Patients Undergoing Transcatheter Aortic Valve Replacement

被引：3

作者：

Finn, Matthew T. ^{[1
]}

Nazif, Tamim M. ^{[1
,2
]}

Fried, Justin ^{[1
]}

Labbe, Benoit M. ^{[3
]}

Mohammadi, Siamak ^{[3
]}

Leon, Martin B. ^{[1
,2
]}

Kodali, Susheel K. ^{[1
,2
]}

Rodes-Cabau, Josep ^{[3
]}

Paradis, Jean-Michel ^{[3
]}

机构：

[1] Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY USA

[2] Cardiovasc Res Fdn, New York, NY USA

[3] Laval Univ, Quebec Heart & Lung Inst, Ville De Quebec, PQ, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2017年 / 33卷 / 09期

关键词：

HIGH-RISK PATIENTS; ARTERY-DISEASE; CLINICAL-OUTCOMES; ELDERLY-PATIENTS; IMPLANTATION; STENOSIS; INTERVENTION; IMPACT; TAVI; MANAGEMENT;

D O I：

10.1016/j.cjca.2017.03.016

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Concomitant coronary artery disease (CAD) is highly prevalent among patients with severe aortic stenosis (AS). Historically, surgical aortic valve replacement with coronary artery bypass grafting was the only treatment option for patients with severe AS and significant CAD. The rapid expansion of transcatheter aortic valve replacement has led to significant paradigm shifts in the treatment of severe AS and has raised new questions regarding the optimal management of CAD in these patients. We review the evidence regarding management of concomitant CAD in severe AS patients, specifically focusing on issues surrounding transcatheter aortic valve replacement. In the absence of robust evidence supporting specific treatment strategies, decisions regarding coronary revascularization in severe AS should be individualized and made within the context of a multidisciplinary heart team.

引用

页码：1099 / 1109

页数：11

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