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Journal of clinical medicine
Mar 09, 2023;12 (6):

Commissural Alignment and Coronary Access after Transcatheter Aortic Valve Replacement.

Angelo Quagliana, Nicholas J Montarello, Yannick Willemen, Pernille S Bække, Troels H Jørgensen, Ole De Backer, Lars Sondergaard
Author Information
  1. Angelo Quagliana: The Heart Center, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark. ORCID
  2. Nicholas J Montarello: The Heart Center, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark.
  3. Yannick Willemen: The Heart Center, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark.
  4. Pernille S Bække: The Heart Center, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark. ORCID
  5. Troels H Jørgensen: The Heart Center, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark.
  6. Ole De Backer: The Heart Center, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark.
  7. Lars Sondergaard: The Heart Center, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark.
PMID: 36983139 DOI: 10.3390/jcm12062136

Abstract

Transcatheter aortic valve implantation (TAVR) is the first therapeutic option for elderly patients with severe symptomatic aortic stenosis, and indications are steadily expanding to younger patients and subjects with lower surgical risk and longer life expectancy. Commissural alignment between native and transcatheter valves facilitates coronary access after TAVR and is thus considered a procedural goal, allowing long-term management of coronary artery disease. Moreover, commissural alignment may potentially have a positive impact on transvalvular hemodynamic and valve durability. This review focus on technical hints to achieve commissural alignment and current evidence for different transcatheter aortic valves.

Keywords

commissural alignment coronary access transcatheter aortic valve implantation transcatheter aortic valve replacement

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Grants

  1. App000092924/European Association of Percutaneous Cardiovascular Interventions (EAPCI Education & Training Grant).
Journal Article Review

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