Ahmad Jabri, Obadah Aqtash, Pedro Engel, Tiberio Frisoli, Mir Babar Basir
{"title":"使用双腔微导管为 TAVR 术后迟发性冠状动脉阻塞患者提供冠状动脉通路的挑战性研究","authors":"Ahmad Jabri, Obadah Aqtash, Pedro Engel, Tiberio Frisoli, Mir Babar Basir","doi":"10.1016/j.crmic.2024.100039","DOIUrl":null,"url":null,"abstract":"<div><p>Late onset coronary occlusion post-transcatheter aortic valve replacement (TAVR) is a rare yet significant complication. We present an 85-year-old female with chest pain secondary to left main coronary artery obstruction eleven months post-TAVR. Angiography revealed a partial occlusion necessitating percutaneous coronary intervention. Despite initial challenges in engagement due to interaction with the TAVR valve, use of a dual lumen microcatheter facilitated successful stenting, resulting in resolution of the obstruction. This case underscores the diagnostic and therapeutic complexities of late coronary occlusion after TAVR, emphasizing the importance of vigilant recognition and innovative interventional strategies in optimizing patient outcomes.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000352/pdfft?md5=4a8c305d4802f23c4459c7ddfa474f0e&pid=1-s2.0-S2950275624000352-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Challenging coronary access in a patient with delayed coronary obstruction following TAVR, facilitated by the use of a dual lumen microcatheter\",\"authors\":\"Ahmad Jabri, Obadah Aqtash, Pedro Engel, Tiberio Frisoli, Mir Babar Basir\",\"doi\":\"10.1016/j.crmic.2024.100039\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Late onset coronary occlusion post-transcatheter aortic valve replacement (TAVR) is a rare yet significant complication. We present an 85-year-old female with chest pain secondary to left main coronary artery obstruction eleven months post-TAVR. Angiography revealed a partial occlusion necessitating percutaneous coronary intervention. Despite initial challenges in engagement due to interaction with the TAVR valve, use of a dual lumen microcatheter facilitated successful stenting, resulting in resolution of the obstruction. This case underscores the diagnostic and therapeutic complexities of late coronary occlusion after TAVR, emphasizing the importance of vigilant recognition and innovative interventional strategies in optimizing patient outcomes.</p></div>\",\"PeriodicalId\":100217,\"journal\":{\"name\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-07-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2950275624000352/pdfft?md5=4a8c305d4802f23c4459c7ddfa474f0e&pid=1-s2.0-S2950275624000352-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2950275624000352\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiovascular Revascularization Medicine: Interesting Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950275624000352","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Challenging coronary access in a patient with delayed coronary obstruction following TAVR, facilitated by the use of a dual lumen microcatheter
Late onset coronary occlusion post-transcatheter aortic valve replacement (TAVR) is a rare yet significant complication. We present an 85-year-old female with chest pain secondary to left main coronary artery obstruction eleven months post-TAVR. Angiography revealed a partial occlusion necessitating percutaneous coronary intervention. Despite initial challenges in engagement due to interaction with the TAVR valve, use of a dual lumen microcatheter facilitated successful stenting, resulting in resolution of the obstruction. This case underscores the diagnostic and therapeutic complexities of late coronary occlusion after TAVR, emphasizing the importance of vigilant recognition and innovative interventional strategies in optimizing patient outcomes.