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Aortic stenosis (AS) with coronary artery disease (CAD): Is surgical or percutaneous management the correct approach

James Carroll

Background

There is a paucity of literature comparing how patients with surgical management of concurrent AS and CAD compare to patients who are managed with percutaneous TAVI and PCI.  

Aim

To determine if TAVI and PCI has comparable outcomes to SAVR and concomitant CABGs.  

Method

At a single institution, we retrospectively compared patients who underwent PCI within one month of TAVI between 2013 and 2019 with an age-and sex matched cohort of patients who underwent surgical aortic valve replacement and concomitant CABG.  

Results

At follow-up 5 of the 13 SAVR + CABG patients were deceased, all 13 TAVI + PCI patients were alive. 11/15 SAVR + CABG group experienced complications versus 2/15 in the interventional group.  

Conclusions

In this single centre study, TAVI and PCI was associated with reduced mortality and fewer complications in comparison to SAVR and CABGs.

November, 2020
10.37912/WaggaJOM.0301.42

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