Coronary Access After Transcatheter Aortic Valve Replacement With Commissural Alignment: The ALIGN-ACCESS Study.

Francesco Cardaioli Luca Nai Fovino Andrea Scotti Mauro Massussi Francesco Cardaioli Giulio Rodino'Alice BenedettiMauro BoiagoYuji MatsudaSaverio ContinisioCarolina MontonatiLuisa CacciavillaniAndrea Pavei Giulia MasieroMassimo NapodanoChiara Fraccaro Tommaso FabrisSabino Iliceto

Published in: Circulation. Cardiovascular interventions (2022)

Commissural alignment improves the rate of selective CA after TAVR with supra-annular THVs. Nevertheless, aligned supra-annular THVs carry higher risk of unfeasible/nonselective CA than SAPIEN 3. Patients with a misaligned supra-annular THV, low sinus of Valsalva, and higher THV-sinus of Valsalva relation are at highest risk of impaired CA after TAVR.

Keyphrases

transcatheter aortic valve replacement
aortic stenosis
aortic valve
coronary artery
transcatheter aortic valve implantation
ejection fraction
left ventricular