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Open Access 06-03-2024 | Letter to the Editor

Reply to ‘Percutaneous coronary intervention timing and coronary physiology in transcatheter aortic valve implantation patients’

Auteurs: Hugo M. Aarts, Michiel Voskuil, Ronak Delewi

Gepubliceerd in: Netherlands Heart Journal | Uitgave 4/2024

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Dear Editor,
We thank Dr. Minten and colleagues for their interest and thorough review of our manuscript on the importance of preprocedural revascularisation in patients undergoing transcatheter aortic valve implantation (TAVI) [1]. The authors emphasise that further research is warranted to elucidate the role of percutaneous coronary intervention (PCI) in these patients, including the ideal timing of PCI, coronary physiology and the possible benefit regarding long-term outcomes.
Indeed, the observational design of the included studies in the current meta-analysis has its well-known inherent limitations, including selection bias. Fortunately, results from multiple well-organised randomised controlled trials are expected in the near future. Both the Dutch PRO-TAVI trial and the NOTION-3 trial are aiming to elucidate the benefit of PCI in patients with untreated significant coronary artery disease undergoing TAVI, including 5‑year clinical follow-up. Nonetheless, short-term clinical outcomes are also crucial in TAVI, as periprocedural complications are associated with increased mortality risk [2].
We believe that the results of these randomised controlled trials will contribute to a tailored-made therapy for patients with significant coronary artery disease undergoing TAVI.

Conflict of interest

H.M. Aarts, M. Voskuil and R. Delewi declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​.
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Netherlands Heart Journal

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Literatuur
1.
go back to reference Aarts HM, van Hemert ND, Meijs TA, et al. Percutaneous coronary intervention in patients undergoing transcatheter aortic valve implantation: a systematic review and meta-analysis. Neth Heart J. 2023;31:489–99.CrossRefPubMedPubMedCentral Aarts HM, van Hemert ND, Meijs TA, et al. Percutaneous coronary intervention in patients undergoing transcatheter aortic valve implantation: a systematic review and meta-analysis. Neth Heart J. 2023;31:489–99.CrossRefPubMedPubMedCentral
2.
go back to reference van Nieuwkerk AC, Aarts HM, Hemelrijk KI, et al. Bleeding in patients undergoing transfemoral transcatheter aortic valve replacement. JACC Cardiovasc Interv. 2023;16:2951–62.CrossRefPubMed van Nieuwkerk AC, Aarts HM, Hemelrijk KI, et al. Bleeding in patients undergoing transfemoral transcatheter aortic valve replacement. JACC Cardiovasc Interv. 2023;16:2951–62.CrossRefPubMed
Metagegevens
Titel
Reply to ‘Percutaneous coronary intervention timing and coronary physiology in transcatheter aortic valve implantation patients’
Auteurs
Hugo M. Aarts
Michiel Voskuil
Ronak Delewi
Publicatiedatum
06-03-2024
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 4/2024
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-024-01861-z

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