CAD strategy in the TAVR era.
Charles J DavidsonCharles J DavidsonPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
The optimal revascularization strategy for CAD in the TAVR population is not well-defined and decisions about which patients require PCI have been largely operator dependent or based on SYNTAX score. In a TAVR population, complete revascularization does not improve short or long term mortality, but is associated with decreased acute myocardial infarction and revascularization, when compared with incomplete revascularization. Future prospective studies should evaluate revascularization strategies in TAVR patients, including considering functional lesion assessment with fractional flow reserve, especially as TAVR indications are likely to soon expand to a younger and healthier cohort.
Keyphrases
- percutaneous coronary intervention
- acute myocardial infarction
- transcatheter aortic valve replacement
- aortic valve
- aortic stenosis
- ejection fraction
- end stage renal disease
- coronary artery bypass grafting
- coronary artery disease
- newly diagnosed
- chronic kidney disease
- acute coronary syndrome
- prognostic factors
- st segment elevation myocardial infarction
- peritoneal dialysis
- antiplatelet therapy
- heart failure
- cardiovascular disease
- patient reported outcomes
- risk factors