The Rationale for Performance of Coronary Angiography and Stenting Before Transcatheter Aortic Valve Replacement: From the Interventional Section Leadership Council of the American College of Cardiology

JACC. Cardiovascular Interventions
Stephen RameeInterventional Section of the Leadership Council of the American College of Cardiology

Abstract

Transcatheter aortic valve replacement (TAVR) is an effective, nonsurgical treatment option for patients with severe aortic stenosis. The optimal treatment strategy for treating concomitant coronary artery disease (CAD) has not been tested prospectively in a randomized clinical trial. Nevertheless, it is standard practice in the United States to perform coronary angiography and percutaneous coronary intervention for significant CAD at least 1 month before TAVR. All existing clinical trials were designed using this strategy. Therefore, it is wrong to extrapolate current American College of Cardiology/American Heart Association Appropriate Use Criteria against invasive procedures in asymptomatic patients to the TAVR population when evaluating the quality of care by cardiologists or hospitals. In this statement from the Interventional Section Leadership Council of the ACC, it is recommended that percutaneous coronary intervention should be considered in all patients with significant proximal coronary stenosis in major coronary arteries before TAVR, even though the indication is not covered in current guidelines.

References

Apr 1, 2014·The New England Journal of Medicine·David H AdamsUNKNOWN U.S. CoreValve Clinical Investigators
Feb 13, 2016·Nature Reviews. Cardiology·Edward DansonRavinay Bhindi
Feb 27, 2016·Journal of the American College of Cardiology·Tarun ChakravartyRaj R Makkar

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Citations

Mar 7, 2018·Current Treatment Options in Cardiovascular Medicine·Konstantinos V VoudrisKonstantinos Charitakis
Mar 1, 2018·Interactive Cardiovascular and Thoracic Surgery·Benedikt MayrMarcus-André Deutsch
Aug 8, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jacob LønborgLars Søndergaard
May 14, 2018·Journal of the American Heart Association·Toby RogersRon Waksman
Oct 13, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jun LiGuilherme F Attizzani
Dec 5, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Paul GuedeneyUNKNOWN WIN TAVI Investigators
Aug 28, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Arnav KumarHabib Samady
Apr 24, 2018·Current Treatment Options in Cardiovascular Medicine·Vikas SinghWilliam W O'Neill
Sep 29, 2017·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·R J de Winter
Dec 10, 2019·Circulation·Abdulla A DamlujiUNKNOWN American Heart Association Council on Clinical Cardiology and Council on Cardiovascular and Stroke Nursing
Mar 11, 2021·Expert Review of Cardiovascular Therapy·Silvia FrattiniPompilio Faggiano
Mar 21, 2020·JACC. Cardiovascular Interventions·Toby RogersRon Waksman
Feb 25, 2019·Journal of Cardiothoracic and Vascular Anesthesia·Oscar D Aljure, Michael Fabbro
Mar 31, 2021·Revista Española De Cardiología·Alfredo RedondoIgnacio J Amat-Santos
Apr 20, 2021·European Heart Journal·UNKNOWN VARC-3 WRITING COMMITTEEMartin B Leon
Apr 24, 2021·Journal of the American College of Cardiology·UNKNOWN VARC-3 WRITING COMMITTEE:Martin B Leon

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