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

Catheter Cardiovasc Interv. 2023 Jan;101(1):97-101. doi: 10.1002/ccd.30483. Epub 2022 Nov 16.


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.

Keywords: aortic valve disease; coronary artery disease; interventional devices/innovation; percutaneous coronary intervention; stenting technique.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / diagnostic imaging
  • Aortic Valve Stenosis* / surgery
  • Coronary Occlusion* / diagnostic imaging
  • Coronary Occlusion* / etiology
  • Coronary Occlusion* / therapy
  • Heart Valve Prosthesis*
  • Humans
  • Prosthesis Design
  • Transcatheter Aortic Valve Replacement* / adverse effects
  • Treatment Outcome