Clinical outcomes of coronary occlusion following transcatheter aortic valve replacement: A systematic review

Cardiovascular Revascularization Medicine : Including Molecular Interventions
Oluwaseun A AkinseyeUzoma N Ibebuogu

Abstract

Coronary occlusion (CO) is a rare but serious complication following transcatheter aortic valve replacement (TAVR) with limited published data. We sought to evaluate the immediate and short-term outcomes of CO complicating TAVR. Studies, including case reports, case series and original articles published from 2002 to 2016 describing CO following TAVR were identified with a systematic electronic search using the PRISMA Statement. Only studies reporting data on demographic and procedural characteristics, management and follow up outcomes were analyzed. A total of 40 publications describing 96 patients (86 native, 10 bioprosthetic) were identified. Mean age was 83±7years and most (81%) were females. The mean logistic EuroSCORE and STS score was 23.5±14.6% and 9.1±3.2% respectively. TAVR access site was transfemoral in 73% and a balloon expandable valve was used in 78%. Among those with LCA occlusion, the mean LCA ostium height was 10.1±1.8mm while the mean RCA ostium height was 10.4±2.0mm among those with RCA occlusion. CO frequently involved the left main coronary artery (80%) and the most common mechanism was displacement of native valve leaflet (60%), and most cases occurred within 1-hour post-implantation (88%). Percutaneous c...Continue Reading

Citations

Sep 11, 2019·Cardiovascular Intervention and Therapeutics·Kohsuke Shirakawa, Mitsushige Murata
Jul 1, 2020·Expert Review of Medical Devices·Stephan Milhorini PioVictoria Delgado
Dec 29, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Francesco BurzottaCarlo Trani
Sep 2, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Divya YadlapalliAnthony G Nappi
May 1, 2021·Frontiers in Cardiovascular Medicine·Mohammed SaadDerk Frank

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