Valvular & structural heart disease
Feasibility of coronary access after transcatheter aortic valve implantation (TAVI): a systematic review and meta-analysis of observational studies
Authors' conclusion
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.
Study context
- Population
- Patients who underwent coronary angiography after TAVI
- Participants
- 1,660 patients20 eligible studies
- Comparison
- Coronary access after TAVI by valve type: balloon-expandable (BEVs) vs self-expandable valve (SEVs) types
- Outcome
- Incidence of successful selective coronary re-access
Methodological detailsstratified by balloon-expandable (BEVs) and self-expandable valve (SEVs) types
- Stratified by balloon-expandable (BEVs) and self-expandable valve (SEVs) types
Pooled result
As reported in the abstract
| Group | Value | Left main (LM) | Right coronary artery (RCA) |
|---|---|---|---|
| BEVs | nearly 100% | nearly 100% | nearly 100% |
| Acurate Neo | 68 | 57 | |
| Evolut R/PRO | 77% | 72% | |
| CoreValve | 46% | 49% |
Value
BEVsnearly 100%
Acurate Neo— not stated in the abstract
Evolut R/PRO— not stated in the abstract
CoreValve— not stated in the abstract
Left main (LM)
BEVsnearly 100%
Acurate Neo68
Evolut R/PRO77%
CoreValve46%
Right coronary artery (RCA)
BEVsnearly 100%
Acurate Neo57
Evolut R/PRO72%
CoreValve49%
Further pooled results
Indication for coronary angiography
- The majority of coronary angiograms were performed due to acute coronary syndrome, primarily non-ST-segment elevation myocardial infarction, and unstable angina
Original publication
Feasibility of coronary access after transcatheter aortic valve implantation (TAVI): a systematic review and meta-analysis of observational studies. Eur Heart J Qual Care Clin Outcomes. Published 19 February 2025. doi:10.
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