Management of left main coronary artery obstruction after transcatheter aortic valve replacement utilizing a periscope approach.
Catheter Cardiovasc Interv 2017 Sep 20. Epub 2017 Sep 20.
Department of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, Minnesota.
Coronary obstruction is a rare but potentially fatal complication of transcatheter aortic valve replacement (TAVR). It can result from native leaflet or stent frame obstruction of the coronary ostia. There are reports detailing the difficulty of percutaneous coronary intervention following TAVR, but none that describe a periscope approach to access the left main ostia in the presence of a braided nitinol frame. Read More