Management of left main coronary artery obstruction after transcatheter aortic valve replacement utilizing a periscope approach

Todd Drexel, Gregory Helmer, Santiago Garcia, Ganesh Raveendran

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Coronary obstruction is a rare but potentially fatal complication of transcatheter aortic valve replacement (TAVR). It can result from native leaflet or stent frame obstruction of the coronary ostia. There are reports detailing the difficulty of percutaneous coronary intervention following TAVR, but none that describe a periscope approach to access the left main ostia in the presence of a braided nitinol frame. This report describes an alternative approach to access a coronary artery when the valve stent struts are prohibitive to equipment delivery.

Original languageEnglish (US)
Pages (from-to)1444-1448
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume92
Issue number7
DOIs
StatePublished - Dec 1 2018

Keywords

  • left main
  • percutaneous coronary intervention
  • stent
  • transcatheter aortic valve replacement

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