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Presented at: TCT 2019. September 27, 2019.
Unplanned PCI following TAVI is rare, but when necessary, interventionalists are almost always able to successfully revascularize the occluded artery, according to data from an international registry. The incidence of unplanned PCI is highest in the first week after TAVI, declining over time, and the most common reason for the procedure in the first 2 years after valve implantation is acute coronary syndrome, particularly NSTEMI, according to researchers.
Interestingly, the type of valve implanted had no impact on PCI outcomes, with operators reporting similar rates of successful revascularization in those treated with balloon-expandable and self-expanding bioprostheses. The self-expanding Evolut (Medtronic) valve, with its taller frame, is thought by some to make coronary reaccess more difficult when compared with other valve types.