Coronary disease & ACSCohort study
Percutaneous Coronary Interventions in Patients With Prior Transcatheter Aortic Valve Replacement
- retrospective
Authors' conclusion
Despite anatomical challenges posed by transcatheter heart valves, coronary access and PCI post-TAVR are highly successful when appropriate techniques are employed. As TAVR continues to expand to younger patients with longer life expectancy, operator familiarity with coronary access strategies will be essential to optimize post-TAVR care.
Study context
- Population
- Patients undergoing percutaneous coronary intervention (PCI) after prior TAVRof 2,298 patients undergoing TAVR, total 51 PCI cases
- Participants
- 44 patients
- Exposure
- balloon-expandable vs self-expanding TAVR
- Outcome
- Technical success rate of PCI
Main finding
As reported in the abstract
- PCI technical success, all procedures
- 96% (49/51 procedures)
Observational data: associations, not effects.
Further findings
Patient and procedural characteristics
- Underwent PCI post-TAVR
- 44 (1.9%)
- Mean age
- 76 ± 9.01 years
- Women
- 39.2%
- Median time-to-PCI post-TAVR
- 25.92 ± 33.35 months
- Indication stable angina
- 35.3%
- ST-segment elevation myocardial infarction
- 7.8%
- non-ST-segment elevation myocardial infarction
- 39.2%
- unstable angina
- 17.6%
- Urgent PCI
- 64.7%
- Femoral access
- 88.2%
- Selective guide catheter coronary engagement possible
- 86.3%
- Guide catheter extension
- 13.7%
- Guidewire airmailing and use of guide extension catheter required
- 11.8%
- Atherectomy
- 11.7%
Original publication
Percutaneous Coronary Interventions in Patients With Prior Transcatheter Aortic Valve Replacement. JACC Adv. Published 20 January 2026. doi:10.1016/j.jacadv.2025.102567
Summarised from the published abstract; every number is checked against it