학술논문
Characterization and Management of Stable Coronary Artery Disease in Patients Undergoing Transcatheter Aortic Valve Implantation
Document Type
article
Author
Sofia Sammartino; Giulia Laterra; Thomas Pilgrim; Ignacio J. Amat Santos; Ole De Backer; Won-Keun Kim; Henrique Barbosa Ribeiro; Francesco Saia; Matjaz Bunc; Didier Tchetche; Philippe Garot; Flavio Luciano Ribichini; Darren Mylotte; Francesco Burzotta; Yusuke Watanabe; Francesco Bedogni; Tullio Tesorio; Tobias Rheude; Gennaro Sardella; Marco Tocci; Anna Franzone; Roberto Valvo; Mikko Savontaus; Hendrik Wienemann; Italo Porto; Caterina Gandolfo; Alessandro Iadanza; Alessandro Santo Bortone; Markus Mach; Azeem Latib; Luigi Biasco; Maurizio Taramasso; Federico De Marco; Valentina Frittitta; Elena Dipietro; Claudia Reddavid; Orazio Strazzieri; Silvia Motta; Alessandro Comis; Chiara Melfa; Mariachiara Calì; Carmelo Sgroi; Mohamed Abdel-Wahab; Giulio Stefanini; Corrado Tamburino; Marco Barbanti; Giuliano Costa
Source
Journal of Clinical Medicine, Vol 13, Iss 12, p 3497 (2024)
Subject
Language
English
ISSN
2077-0383
Abstract
Background/Objectives: To date, data regarding the characteristics and management of obstructive, stable coronary artery disease (CAD) encountered in patients undergoing transcatheter aortic valve implantation (TAVI) are sparse. The aim of the study was to analyze granular details, treatment, and outcomes of patients undergoing TAVI with obstructive, stable CAD from real-world practice. Methods: REVASC-TAVI (Management of myocardial REVASCularization in patients undergoing Transcatheter Aortic Valve Implantation with coronary artery disease) is an investigator-initiated, multicenter registry, which collected data from patients undergoing TAVI with obstructive stable CAD found during the pre-TAVI work-up. Results: A total of 2025 patients from 30 centers worldwide with complete follow-up were included in the registry. Most patients had single-vessel CAD (56.1%). An involvement of proximal coronary tracts was detected in 62.5% of cases, with 12.0% of patients having CAD in left main (LM). Most patients received percutaneous coronary intervention (PCI) (n = 1617, 79.9%), especially those with proximal CAD (90.4%). At 2 years, the rates of all-cause death [Kaplan–Meier (KM) estimates 20.1% vs. 18.8%, plog-rank = 0.86] and of the composite of all-cause death, stroke, myocardial infarction, and rehospitalization for heart failure (KM estimates 29.7% vs. 27.5%, plog-rank = 0.82) did not differ between patients undergoing PCI and those who were not. Conclusions: Patients undergoing TAVI with obstructive CAD more commonly had a single-vessel disease and an involvement of proximal coronary tracts. They were commonly treated with PCI, with similar outcomes compared to those treated conservatively.