Skip to main content
main-content

01.03.2018 | Coronary Artery Disease (D Feldman and V Voudris, Section Editors) | Ausgabe 3/2018

Current Treatment Options in Cardiovascular Medicine 3/2018

Timing and Outcomes of PCI in the TAVR Era

Zeitschrift:
Current Treatment Options in Cardiovascular Medicine > Ausgabe 3/2018
Autoren:
MD, PhD Konstantinos V. Voudris, MD Peter Petropulos, MD Panagiotis Karyofillis, MD Konstantinos Charitakis
Wichtige Hinweise
This article is part of the Topical Collection on Coronary Artery Disease

Abstract

Purpose of review

Transcatheter aortic valve replacement (TAVR) has become an established therapy for patients with symptomatic severe aortic stenosis (AS). As the number of patients referred for TAVR increases, so does the prevalence of untreated obstructive coronary artery disease (CAD) in the population under evaluation. Despite the high prevalence of CAD in patients treated with TAVR, the management strategy of concomitant CAD in these patients remains an area of considerable uncertainty.

Recent findings

Percutaneous coronary intervention (PCI) in patients with CAD and severe AS has been shown to be feasible and safe. Whether revascularization before, during, or after TAVR is optimal remains a subject of debate. All three approaches represent valid strategies with advantages and disadvantages that need to be carefully weighed on an individual basis.

Summary

Current expert opinions recommend that PCI should be performed before or at the time of TAVR as long as the risk of the procedure does not outweigh the potential benefits. The results of large clinical trials evaluating the optimal revascularization time are closely awaited.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de. Zusätzlich können Sie eine Zeitschrift Ihrer Wahl in gedruckter Form beziehen – ohne Aufpreis.

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 3/2018

Current Treatment Options in Cardiovascular Medicine 3/2018 Zur Ausgabe

Coronary Artery Disease (D Feldman and V Voudris, Section Editors)

Spontaneous Coronary Artery Dissection: Diagnosis and Management

Arrhythmia (G Upadhyay, Section Editor)

Permanent His Bundle Pacing for Cardiac Resynchronization

  1. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Dieses Abonnement kann nur einmal getestet werden.

Neu im Fachgebiet Kardiologie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Kardiologie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise