Post-TAVI PCI

Transcatheter aortic valve implantation (TAVI) with a self-expanding prosthesis can create new more complex anatomies for one to navigate in order to gain access to the coronary ostia. In other words, the geometrical relationships between a given patient’s cardiac anatomy and the implanted prosthesis location and/or its orientation in turn may hinder coronary access and even cause coronary obstruction. Hence, the standardization of coronary techniques and deep understandings of procedural implications are needed for improving the management of patients treated by TAVI. This chapter discusses the various transcatheter valve types and how they will impact access to the coronary arteries and means to do so.