title: Combined rotational atherectomy and aortic balloon valvuloplasty as a bridge to transcatheter aortic valve replacement.
abstract: Patients with obstructive coronary artery disease and severe aortic stenosis have traditionally been managed with open heart surgery. In the era of transcatheter aortic valve replacement (TAVR) and high-risk coronary interventions many of those patients who were previously considered "terminal" can now be successfully managed with percutaneous coronary intervention (PCI) and TAVR. Although simple PCI can be safely combined with TAVR in the same procedure, high-risk coronary interventions often need to be performed separately. We report the first case of combined rotational atherectomy with balloon aortic valvuloplasty as a bridge to TAVR in a frail patient with complex coronary artery disease and critical aortic stenosis.
authors.affiliation: Wesley Medical Center, Wichita, KS, United States. Electronic address: aravalbw@hotmail.com.
authors.forename: Omar
authors.initials: O
authors.lastname: Ali
authors.affiliation: Citizens Memorial Hospital, Heart and Vascular Institute, Bolivar, MO, United States; University of Missouri, Columbia, MO, United States.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Marmagkiolis
authors.affiliation: Arkansas Heart Hospital, Little Rock, AR, United States; Koc University, School of Medicine, Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Cilingiroglu
mesh_terms: D001021:Aortic Valve; D001024:Aortic Valve Stenosis; D017225:Atherectomy, Coronary; D063126:Balloon Valvuloplasty; D006801:Humans; D012720:Severity of Illness Index; D065467:Transcatheter Aortic Valve Replacement
keywords: Aterectomia rotacional; Balloon aortic valvuloplasty; High-risk coronary interventions; Intervenções coronárias de alto risco; Rotational atherectomy; Valvuloplastia aórtica com balão