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Bail out lithotripsy to treat delayed valve-in-valve TAVR-related coronary obstruction.

Brian O Bingen, Ibtihal Al Amri, Jose M Montero-Cabezas, Frank van der Kley
Catheterization and Cardiovascular Interventions 2023 January
Coronary access difficulty and stent compression by the juxtaposed aortic valve leaflet hamper percutaneous management of delayed coronary artery obstruction (CAO) after valve-in-valve (Edwards Sapien 3 in St. Jude Trifecta) transcatheter aortic valve replacement (TAVR). Here, we present a case of delayed post-TAVR CAO treated with intravascular lithotripsy and multistenting to overcome stent compression by the adjacent calcified leaflet.

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