Late coronary ischemıc syndromes assocıated wıth transcatheter aortıc valve ımplantatıon: A revıew of mechanıstıc and clınıcal aspects

In the past years, transcatheter aortic valve implantation (TAVI) has emerged as a promising option for the treatment of aortic valve pathologies particularly in the the presence of surgically high-risk situations. Importantly, a variety of specific procedural complications including acute coronary...

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Main Authors: Kenan Yalta, Cafer Zorkun, Mustafa Yilmaztepe, Yekta Gurlertop
Format: Article
Language:English
Published: Elsevier 2018-11-01
Series:Indian Heart Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S0019483217308842
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author Kenan Yalta
Cafer Zorkun
Mustafa Yilmaztepe
Yekta Gurlertop
author_facet Kenan Yalta
Cafer Zorkun
Mustafa Yilmaztepe
Yekta Gurlertop
author_sort Kenan Yalta
collection DOAJ
description In the past years, transcatheter aortic valve implantation (TAVI) has emerged as a promising option for the treatment of aortic valve pathologies particularly in the the presence of surgically high-risk situations. Importantly, a variety of specific procedural complications including acute coronary osteal occlusion, though very rare, has been reported in major clinical studies. However, little is known about the late impact of TAVI on coronary system at the macro and microvascular levels.On the other hand, clinical studies as well as real life experiences have shown variable rates of acute coronary syndrome (ACS) readmissions among TAVI recipients in the short and long terms. Within this context, it may be suggested that even though late coronary ischemic events arising after TAVI, to some extent, appears to be spontaneous or attributable to certain stressors, TAVI may also have the potential to directly account for, accelerate or contribute to the evolution of these ischemic events on follow-up. Accordingly, the present review primarily focuses on potential association of TAVI with late coronary ischemic syndromes along with a particular emphasis on its mechanistic basis and clinical implications among TAVI recipients. Keywords: Transcatheter aortic valve implantation, Late coronary ischemic syndromes, Mechanistic basis, Risk factors, Clinical implications
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spelling doaj.art-24a086f44ccf466e92c8a0b11ebdada82022-12-21T18:46:15ZengElsevierIndian Heart Journal0019-48322018-11-01706901906Late coronary ischemıc syndromes assocıated wıth transcatheter aortıc valve ımplantatıon: A revıew of mechanıstıc and clınıcal aspectsKenan Yalta0Cafer Zorkun1Mustafa Yilmaztepe2Yekta Gurlertop3Corresponding author.; Trakya University, Cardiology Department, Edirne, TurkeyTrakya University, Cardiology Department, Edirne, TurkeyTrakya University, Cardiology Department, Edirne, TurkeyTrakya University, Cardiology Department, Edirne, TurkeyIn the past years, transcatheter aortic valve implantation (TAVI) has emerged as a promising option for the treatment of aortic valve pathologies particularly in the the presence of surgically high-risk situations. Importantly, a variety of specific procedural complications including acute coronary osteal occlusion, though very rare, has been reported in major clinical studies. However, little is known about the late impact of TAVI on coronary system at the macro and microvascular levels.On the other hand, clinical studies as well as real life experiences have shown variable rates of acute coronary syndrome (ACS) readmissions among TAVI recipients in the short and long terms. Within this context, it may be suggested that even though late coronary ischemic events arising after TAVI, to some extent, appears to be spontaneous or attributable to certain stressors, TAVI may also have the potential to directly account for, accelerate or contribute to the evolution of these ischemic events on follow-up. Accordingly, the present review primarily focuses on potential association of TAVI with late coronary ischemic syndromes along with a particular emphasis on its mechanistic basis and clinical implications among TAVI recipients. Keywords: Transcatheter aortic valve implantation, Late coronary ischemic syndromes, Mechanistic basis, Risk factors, Clinical implicationshttp://www.sciencedirect.com/science/article/pii/S0019483217308842
spellingShingle Kenan Yalta
Cafer Zorkun
Mustafa Yilmaztepe
Yekta Gurlertop
Late coronary ischemıc syndromes assocıated wıth transcatheter aortıc valve ımplantatıon: A revıew of mechanıstıc and clınıcal aspects
Indian Heart Journal
title Late coronary ischemıc syndromes assocıated wıth transcatheter aortıc valve ımplantatıon: A revıew of mechanıstıc and clınıcal aspects
title_full Late coronary ischemıc syndromes assocıated wıth transcatheter aortıc valve ımplantatıon: A revıew of mechanıstıc and clınıcal aspects
title_fullStr Late coronary ischemıc syndromes assocıated wıth transcatheter aortıc valve ımplantatıon: A revıew of mechanıstıc and clınıcal aspects
title_full_unstemmed Late coronary ischemıc syndromes assocıated wıth transcatheter aortıc valve ımplantatıon: A revıew of mechanıstıc and clınıcal aspects
title_short Late coronary ischemıc syndromes assocıated wıth transcatheter aortıc valve ımplantatıon: A revıew of mechanıstıc and clınıcal aspects
title_sort late coronary ischemic syndromes associated with transcatheter aortic valve implantation a review of mechanistic and clinical aspects
url http://www.sciencedirect.com/science/article/pii/S0019483217308842
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AT caferzorkun latecoronaryischemıcsyndromesassocıatedwıthtranscatheteraortıcvalveımplantatıonarevıewofmechanıstıcandclınıcalaspects
AT mustafayilmaztepe latecoronaryischemıcsyndromesassocıatedwıthtranscatheteraortıcvalveımplantatıonarevıewofmechanıstıcandclınıcalaspects
AT yektagurlertop latecoronaryischemıcsyndromesassocıatedwıthtranscatheteraortıcvalveımplantatıonarevıewofmechanıstıcandclınıcalaspects