Prevention and Management of Coronary Artery Obstruction in TAVR

Jonathan D. Wolfe, John M. Lasala

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Coronary artery obstruction is an uncommon but serious complication of transcatheter aortic valve replacement (TAVR) associated with high mortality. In this chapter, we describe the incidence, mechanisms, clinical presentation, and risk factors for coronary obstruction with TAVR as well as ways to prevent and treat this complication. We also describe the BASILICA procedure, which continues to evolve and has shown success in decreasing the incidence of coronary obstruction with TAVR in high-risk patients.

Original languageEnglish
Title of host publicationMastering Structural Heart Disease
Number of pages4
ISBN (Electronic)9781119807841
ISBN (Print)9781119807827
StatePublished - Jan 1 2023


  • Aortic stenosis
  • Coronary artery obstruction
  • Coronary artery obstruction
  • Transcatheter aortic valve replacement


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