| Title: | Characterization and management of stable coronary artery disease in patients undergoing transcatheter aortic valve implantation |
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| Authors: | ID Sammartino, Sofia (Author)
ID Latterra, Giulia (Author)
ID Pilgrim, Thomas (Author)
ID Amat-Santos, Ignacio J. (Author)
ID De Backer, Ole (Author)
ID Kim, Won-Keun (Author)
ID Barbosa Ribeiro, Henrique (Author)
ID Saia, Francesco (Author)
ID Bunc, Matjaž (Author)
ID Tchetche, Didier (Author), et al. |
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| Files: |  PDF - Presentation file, download (1,22 MB)
MD5: 59BEFB7595B72A9BE85A241178BD023B
 URL - Source URL, visit https://www.mdpi.com/2077-0383/13/12/3497
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | 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 investigatorinitiated, 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 |
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| Keywords: | transcatheter aortic valve implantation, coronary artery disease, percutaneous coronary intervention |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2024 |
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| Number of pages: | str. 1-15 |
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| Numbering: | Vol. 13, iss. 12 |
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| PID: | 20.500.12556/DiRROS-30015  |
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| UDC: | 61 |
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| ISSN on article: | 2077-0383 |
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| DOI: | 10.3390/jcm13123497 |
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| COBISS.SI-ID: | 204196611 |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 12. 8. 2024;
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| Publication date in DiRROS: | 11.06.2026 |
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| Views: | 65 |
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| Downloads: | 37 |
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