title: Challenges in coronary CTO intervention after TAVR: a case report and discussion.
abstract: Progression of coronary arteries after transcatheter aortic valve replacement is an important issue. Coronary revascularization in these patients can be challenging because of potential hindrance posed by the artificial valve structure in getting access to the coronary ostium. This gets even more difficult in chronic total occlusions (CTOs) that represent the most complex subset of coronary lesions. We report the first case of coronary CTO revascularization in a patient who underwent TAVR a few months prior and discuss the complexities involved in intervening such lesions.
authors.affiliation: Cardiology Fellow, Banner University Medical Center, Phoenix, AZ, USA.
authors.forename: Shishir
authors.initials: S
authors.lastname: Murarka
authors.affiliation: Director of Interventional Cardiology Fellowship, Banner University Medical Center, Phoenix, AZ, USA. Electronic address: ashish.pershad@bannerhealth.com.
authors.forename: Ashish
authors.initials: A
authors.lastname: Pershad
mesh_terms: D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000175:diagnosis / Q000209:etiology*; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000601:surgery; D004452:Echocardiography; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*
keywords: CTO; Coronary; PCI; TAVR