Bail out lithotripsy to treat delayed valve-in-valve TAVR-related coronary obstruction

Brian O. Bingen,Ibtihal Al Amri,Jose M. Montero-Cabezas,Frank van der Kley

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions（2023）

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摘要

Coronary access difficulty and stent compression by the juxtaposed aortic valve leaflet hamper percutaneous management of delayed coronary artery obstruction (CAO) after valve-in-valve (Edwards Sapien 3 in St. Jude Trifecta) transcatheter aortic valve replacement (TAVR). Here, we present a case of delayed post-TAVR CAO treated with intravascular lithotripsy and multistenting to overcome stent compression by the adjacent calcified leaflet.

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关键词

aortic valve disease,coronary artery disease,interventional devices,innovation,percutaneous coronary intervention,stenting technique

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