2024
DOI: 10.1093/ehjimp/qyae096
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How to address the coronaries in TAVI candidates: can the need for revascularization be safely determined by CT angiography only?

Katharina Theresa Julia Mascherbauer,
Gudrun Lamm,
Andreas Anselm Kammerlander
et al.

Abstract: Coronary artery disease (CAD) remains one of the most frequent comorbidities among transcatheter aortic valve implantation (TAVI) candidates. Whether routine assessment of CAD by invasive coronary angiography (CA) and eventual peri-procedural percutaneous coronary intervention (PCI) is generally beneficial in TAVI patients has recently been heavily questioned. CA carries significant risks, such as kidney injury, bleeding, and prolonged hospital stay, and may frequently be unnecessary if significant stenoses of… Show more

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