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Bail out lithotripsy to treat delayed valve-in-valve TAVR-related coronary obstruction |
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| Authors: | Brian O Bingen MD PhD Ibtihal Al Amri MD Jose M Montero-Cabezas MD Frank van der Kley MD PhD |
| Institution: | Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands |
| Abstract: | Coronary access difficulty and stent compression by the juxtaposed aortic valve leaflet hamper percutaneous management of delayed coronary artery obstruction (CAO) after valve-in-valve (Edwards Sapien 3 in St. Jude Trifecta) transcatheter aortic valve replacement (TAVR). Here, we present a case of delayed post-TAVR CAO treated with intravascular lithotripsy and multistenting to overcome stent compression by the adjacent calcified leaflet. |
| Keywords: | aortic valve disease coronary artery disease interventional devices/innovation percutaneous coronary intervention stenting technique |