Complex Percutaneous Coronary Intervention in Patients Requiring Transcatheter Aortic Valve Replacement
Thomas Gilliland, Tanush Gupta · 2026
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Description
Thomas Gilliland and Tanush Gupta reviewed in 2026 when complex coronary stenting should precede valve replacement in patients needing transcatheter aortic valve implantation. Guidelines recommend stenting first for significant proximal coronary disease, based largely on one trial.
In NOTION-3, stenting tight blockages before valve implantation cut death, heart attack, or urgent repeat procedures at two years, but complex left main disease and multiple total blockages were excluded. ACTIVATION found no difference, while FAITAVI favoured flow-guided stenting. A large trial of complete stenting after valve implantation is still running, leaving complex cases without direct trial proof.
Catalog record
| CREATOR | Thomas Gilliland, Tanush Gupta |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 15 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |