{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T19:44:06Z","timestamp":1771530246370,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:00:00Z","timestamp":1578441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Incidence of coronary access (CA) after transcatheter aortic valve replacement (TAVR) at long\u2010term follow\u2010up remains unknown. CA and percutaneous coronary intervention (PCI) after TAVR might present technical challenges, particularly with supra\u2010annular devices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing CA after being treated with TAVR at our institution were included in the study. Coronary interventions for coronary obstruction during TAVR procedure were excluded. Incidence, feasibility and outcomes of CA after TAVR were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 912 patients aged 80\u2009\u00b1\u20097\u2009years treated with TAVR at our institution between 2007 and 2018, 48 (5.3%) underwent CA at a median follow up of 769 [363\u20131,471] days. Twenty\u2010one had received a SAPIEN XT, 15 a SAPIEN 3, 6 Corevalve, 2 Evolut Pro, 2 JenaValve, and 2 Lotus valve. PCI was indicated in 26 (54%) cases. Seventeen (35%) procedures were performed for acute coronary syndromes (ACS). Independent predictors of CA after TAVR were younger age, previous PCI, and CABG. CA of both vessels was feasible in all patients with an intra\u2010annular device, while the right coronary artery was not engaged in two patients with a supra\u2010annular valve. PCI was successful in all but one case. All\u2010cause mortality was similar between patients needing CA for ACS and those who had other clinical indications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this high\u2010risk AS population, incidence of CA after TAVR at long\u2010term follow\u2010up was rather low. CA and PCI were safe and successful in most cases, with a lower rate of selective CA for supra\u2010annular devices.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28720","type":"journal-article","created":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T11:49:43Z","timestamp":1578484183000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Incidence and feasibility of coronary access after transcatheter aortic valve replacement"],"prefix":"10.1002","volume":"96","author":[{"given":"Luca","family":"Nai Fovino","sequence":"first","affiliation":[{"name":"Department of Cardiac, Thoracic, Vascular Sciences and Public Health University of Padua Medical School  Padua Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4731-4384","authenticated-orcid":false,"given":"Andrea","family":"Scotti","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic, 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