title: Expanding TAVI options: elective rotational atherectomy during trans-catheter aortic valve implantation.
abstract: Aortic valve stenosis (AVS) in the elderly is frequently associated to coronary artery disease (CAD). In patients with significant coronary stenosis surgical valve replacement is associated to coronary bypass grafting, but whether coronary angioplasty is needed in patients receiving trans-catheter aortic valve implantation (TAVI) is unknown. Given the frequent complexity of CAD in the elderly with calcific AVS, rotational atherectomy (RA) may be needed in some cases. No data are available about feasibility and safety of RA during TAVI. The need for myocardial revascularization in TAVI candidates is discussed, and a series of RA cases performed during TAVI is described.
authors.affiliation: Division of Cardiology of the Department of Medicine, University of Verona, Verona, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Piccoli
authors.affiliation: Division of Cardiology of the Department of Medicine, University of Verona, Verona, Italy.
authors.forename: Mattia
authors.initials: M
authors.lastname: Lunardi
authors.affiliation: Division of Cardiology of the Department of Medicine, University of Verona, Verona, Italy.
authors.forename: Sara
authors.initials: S
authors.lastname: Ariotti
authors.affiliation: Division of Cardiology of the Department of Medicine, University of Verona, Verona, Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Ferrero
authors.affiliation: Division of Cardiology of the Department of Medicine, University of Verona, Verona, Italy.
authors.forename: Corrado
authors.initials: C
authors.lastname: Vassanelli
authors.affiliation: Division of Cardiology of the Department of Medicine, University of Verona, Verona, Italy. Electronic address: flavio.ribichini@univr.it.
authors.forename: Flavio
authors.initials: F
authors.lastname: Ribichini
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D017225:Atherectomy, Coronary; D006328:Cardiac Catheterization / Q000295:instrumentation; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D016896:Treatment Outcome
keywords: Aortic valve stenosis; Catheter-based coronary interventions; Rotational atherectomy; Trans-catheter aortic valve implantation