{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:23:54Z","timestamp":1790717034651,"version":"4.1.0"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The expanding indications for transcatheter aortic valve implantation (TAVI) to younger, lower-risk patients, entails assessing not only the short-term clinical outcomes but also the long-term considerations for future interventions. The prevalence of coronary artery disease in TAVI patients is relevant, and the optimal timing of percutaneous coronary intervention remains a question.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>We conducted a systematic literature review and meta-analysis including 20 eligible studies involving 1660 patients who underwent coronary angiography after TAVI. The primary endpoint was the incidence of successful selective coronary re-access. Secondary endpoints included semi-selective and non-selective access rates. The analysis was stratified by balloon-expandable (BEVs) and self-expandable valve (SEVs) types. Successful coronary access after TAVI was feasible in the majority of patients, with a higher success rate observed for the left main (LM) compared to the right coronary artery (RCA). BEVs demonstrated the highest success rates in coronary ostia cannulation, achieving nearly 100% success for both LM and RCA. Among SEVs, the Acurate Neo and Evolut R\/PRO showed superior success rates in selective coronary access (68 and 77% for LM; 57 and 72% for RCA, respectively) compared to the CoreValve (46% for LM and 49% for RCA). Notably, the majority of coronary angiograms were performed due to acute coronary syndrome, primarily non-ST-segment elevation myocardial infarction, and unstable angina.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Selective coronary engagement after TAVI is generally achievable, with BEVs demonstrating superior success rates compared to SEVs. Among SEVs, the Acurate NEO showed better outcomes than the other types.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjqcco\/qcae100","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T15:19:06Z","timestamp":1739891946000},"page":"565-579","source":"Crossref","is-referenced-by-count":4,"title":["Feasibility of coronary access after transcatheter aortic valve implantation (TAVI): a systematic review and meta-analysis of observational studies"],"prefix":"10.1093","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1176-4300","authenticated-orcid":false,"given":"Federico","family":"Giacobbe","sequence":"first","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]},{"name":"Division of Cardiology, Department of Medical Sciences, University of Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7921-0234","authenticated-orcid":false,"given":"Arianna","family":"Morena","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]},{"name":"Division of Cardiology, Department of Medical Sciences, University of Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0019-0273","authenticated-orcid":false,"given":"Francesco","family":"Bruno","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Nebiolo","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]},{"name":"Division of Cardiology, Department of Medical Sciences, University of Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4915-9501","authenticated-orcid":false,"given":"Ovidio","family":"De Filippo","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasser","family":"Odeh","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]},{"name":"Division of Cardiology, Department of Medical Sciences, University of Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Di Pietro","sequence":"additional","affiliation":[{"name":"Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome , 00161 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep Rodes","family":"Cabau","sequence":"additional","affiliation":[{"name":"Quebec Heart & Lung Institute, Laval University , Quebec City, Quebec ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Conrotto","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annapoorna","family":"Kini","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Mount Sinai Medical Center, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Giannino","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]},{"name":"Division of Cardiology, Department of Medical Sciences, University of Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azeem","family":"Latib","sequence":"additional","affiliation":[{"name":"Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine , Bronx, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Omed\u00e9","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephane","family":"Noble","sequence":"additional","affiliation":[{"name":"Cardiology Division, University Hospital of Geneva ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele William","family":"La Torre","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Cardiovascular and Thoracic Department, Citt\u00e0 della Salute e della Scienza , Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4903-5437","authenticated-orcid":false,"given":"Marco","family":"Barbanti","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Enna \u201cKore\u201d , Enna ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Tarantini","sequence":"additional","affiliation":[{"name":"Cardiology Clinic, Department of Cardiac, Thoracic, and Vascular Sciences and Public Health Padova, University of Padua ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0799-7478","authenticated-orcid":false,"given":"Won-Keun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kerckhoff Heart and Thorax Center , Bad Nauheim ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Blumenstein","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kerckhoff Heart and Thorax Center , Bad Nauheim ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madjid","family":"Boukantar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular, Henri Mondor University Hospital , Creteil ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan Wan","family":"Htun","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Detroit Medical Center\/Wayne State University , Detroit, MI ,","place":["USA"]},{"name":"Department of Cardiothoracic Surgery, Northwell Health, Lenox Hill Hospital , New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetano Maria","family":"de Ferrari","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]},{"name":"Division of Cardiology, Department of Medical Sciences, University of Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Salizzoni","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Cardiovascular and Thoracic Department, Citt\u00e0 della Salute e della Scienza , Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"D'Ascenzo","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular and Thoracic Department , Citt\u00e0 della Salute e della Scienza. Corso Bramante 88, Turin 10126 ,","place":["Italy"]},{"name":"Division of Cardiology, Department of Medical Sciences, University of Turin ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"2025081218294377600_bib1","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1056\/NEJMoa1816885","article-title":"Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients","volume":"380","author":"Popma","year":"2019","journal-title":"N Engl J Med"},{"key":"2025081218294377600_bib2","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1056\/NEJMoa1814052","article-title":"Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients","volume":"380","author":"Mack","year":"2019","journal-title":"N Engl J Med"},{"key":"2025081218294377600_bib3","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.ijcard.2021.04.068","article-title":"Aortic valve replacement vs. balloon-expandable and self-expandable transcatheter implantation: a network meta-analysis","volume":"337","author":"D'Ascenzo","year":"2021","journal-title":"Int J Cardiol"},{"key":"2025081218294377600_bib4","doi-asserted-by":"crossref","first-page":"857","DOI":"10.4244\/EIJ-D-19-00788","article-title":"Residual challenges in TAVI: moving forward","volume":"15","author":"Barbanti","year":"2019","journal-title":"EuroIntervention"},{"key":"2025081218294377600_bib5","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1056\/NEJMoa1514616","article-title":"Transcatheter or surgical aortic-valve replacement in intermediate-risk patients","volume":"374","author":"Leon","year":"2016","journal-title":"N Engl J Med"},{"key":"2025081218294377600_bib6","first-page":"973","article-title":"Transcatheter aortic valve implantation in patients with and without concomitant coronary artery disease: comparison of characteristics and early outcome in the German multicenter TAVI registry","volume":"101","author":"Abdel-Wahab","year":"2012","journal-title":"Clin Res Cardiol Off J Ger Card Soc"},{"key":"2025081218294377600_bib7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jacc.2013.01.096","article-title":"Severe aortic stenosis and coronary artery disease\u2014implications for management in the transcatheter aortic valve replacement era: a comprehensive review","volume":"62","author":"Goel","year":"2013","journal-title":"J Am Coll Cardiol"},{"key":"2025081218294377600_bib8","doi-asserted-by":"crossref","first-page":"37","DOI":"10.4244\/EIJ-D-22-00958","article-title":"Management of coronary artery disease in patients undergoing transcatheter aortic valve implantation. 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