{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T20:52:21Z","timestamp":1779310341004,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,5,2]],"date-time":"2012-05-02T00:00:00Z","timestamp":1335916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We assessed the safety and effectiveness of a selective percutaneous revascularization strategy before TAVI in a single\u2010center prospective registry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Management of Coronary Artery Disease (CAD) before Transcatheter Aortic Valve Implantation (TAVI) is not yet established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Percutaneous Coronary Intervention (PCI) was scheduled in proximal\u2010to\u2010mid coronary segment lesions on major coronary branches. TAVI was performed by percutaneous trans\u2010femoral, trans\u2010subclavian or trans\u2010apical approach, using either the self\u2010expandable III generation CoreValve (Medtronic, Minneapolis, Minnesota USA) or the Edwards SAPIEN<jats:sup>\u2122<\/jats:sup>\/SAPIEN XT balloon\u2010expandable prosthesis (Edwards Lifesciences Irvine, CA). Clinical and echocardiographic follow\u2010up was collected at 30\u2010day, 3,6,12\u2010month and yearly thereafter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 191 patients who underwent TAVI, 113 (59.2%) had CAD. Mean age was 80.5 \u00b1 6.9 years (57.6% female), logistic EuroSCORE was 21.4% \u00b1 13.4. Twenty\u2010seven (14.1%) patients had previous percutaneous and 29 (15.2%) surgical revascularization. PCI was performed as scheduled before TAVI in 39 (20.4%) patients, without adverse events. Complete anatomical revascularization was obtained in 38 of 113 CAD patients (33.6%). After TAVI, 30\u2010day mortality was 4.2%, and was comparable between CAD and no\u2010CAD patients (<jats:italic>P<\/jats:italic> = ns), while 30\u2010day myocardial infarction incidence was 2.6% and occurred only in the CAD group (4.4%, <jats:italic>P<\/jats:italic> = 0.06). Overall mortality at follow\u2010up (12.9 \u00b1 9.5 months) was 14.8%, without difference between groups (<jats:italic>P<\/jats:italic> = 0.88). At follow\u2010up, five patients underwent coronary revascularization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this study, the incidence of CAD is high in patients referred for TAVI. A selective, clinical based, coronary revascularization before TAVI seemed to be safe, and was associated with an outcome similar to those observed in no\u2010CAD TAVI patients. \u00a9 2012 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.24434","type":"journal-article","created":{"date-parts":[[2012,3,30]],"date-time":"2012-03-30T17:31:56Z","timestamp":1333128716000},"page":"376-383","source":"Crossref","is-referenced-by-count":67,"title":["Safety and effectiveness of a selective strategy for coronary artery revascularization before transcatheter aortic valve implantation"],"prefix":"10.1002","volume":"81","author":[{"given":"Valeria","family":"Gasparetto","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Cardiac, Thoracic and Vascular Sciences University of Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Fraccaro","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Cardiac, Thoracic and Vascular Sciences University of Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Tarantini","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Cardiac, Thoracic and Vascular Sciences University of Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Buja","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Cardiac, Thoracic and Vascular Sciences University of Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augusto","family":"D'Onofrio","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery Department of Cardiac, Thoracic and Vascular Sciences University of Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ermela","family":"Yzeiraj","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Cardiac, Thoracic and Vascular Sciences University of Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Demetrio","family":"Pittarello","sequence":"additional","affiliation":[{"name":"Anesthesiology Department University of Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giambattista","family":"Isabella","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Cardiac, Thoracic and Vascular Sciences University of Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gino","family":"Gerosa","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery Department of Cardiac, Thoracic and Vascular Sciences University of Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabino","family":"Iliceto","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Cardiac, Thoracic and Vascular Sciences University of Padova 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