The Issue of Coronary Ostia Cannulation after Transcatheter Aortic Valve Implantation

Transcatheter aortic valve implantation is progressively expanding its indications towards low risk, younger patients. The consequent expansion towards younger patients poses the attention on long-term considerations, such as the chance of requirement of future coronary interventions after TAVI. In the present article, we will examine the conditions that can favor an easier coronary re-access after TAVI and show three different cases that explain the importance of a proper TAV selection in this regard.

Keywords:TAV₁; TAVI₂; Coronary Angiography₃; PCI₄

Abbreviations:TAVI: Transcatheter aortic valve implantation; AS: Aortic stenosis; CAD: Coronary artery disease; TAV: Transcatheter aortic valve; SoV: Sinus of Valsalva; LM: Left main; RCA: Right Coronary artery; BE: Balloon expandable; SE: Self-expanding; CA: Coronary angiography; PCI: Percutaneous coronary intervention; STJ: Sinotubular junction; CT: Computed tomography