Valvular & structural heart diseaseCohort study
Chimney Stenting vs BASILICA for Prevention of Acute Coronary Obstruction During Transcatheter Aortic Valve Replacement
- Multicentre observational registry
- consecutive patients
Authors' conclusion
Chimney stenting and BASILICA effectively prevent TAVR-induced acute CO. Both techniques seem to have comparable acceptable periprocedural and 1-year outcomes.
Study context
- Population
- Transcatheter aortic valve replacement (TAVR) patients at high risk of coronary obstruction
- Participants
- 168 patients
- Exposure
- Chimney stenting vs BASILICA
- Chimneyn = 71
- BASILICAn = 97
- Outcome
- MACE:
- Death
- MI
- Stroke
- Unplanned target lesion coronary revascularization
- Follow-up
- 1 year
Main finding
As reported in the abstract
MACE (cumulative incidence)
P = 0.848
Observational data: associations, not effects.
Further findings
Clinical success
P = 0.92
CV mortality · 1 year · log-rank · numerically higher with chimney
P = 0.168
Safety
Periprocedural complications
- Similar between the 2 groups
Original publication
Chimney Stenting vs BASILICA for Prevention of Acute Coronary Obstruction During Transcatheter Aortic Valve Replacement. JACC Cardiovasc Interv. Published 25 March 2024. doi:10.1016/j.jcin.2024.01.007
Summarised from the published abstract; every number is checked against it