RT Journal Article T1 ST-Segment Elevation Myocardial Infarction Following Transcatheter Aortic Valve Replacement. A1 Faroux, Laurent A1 Lhermusier, Thibault A1 Vincent, Flavien A1 Nombela-Franco, Luis A1 Tchétché, Didier A1 Barbanti, Marco A1 Abdel-Wahab, Mohamed A1 Windecker, Stephan A1 Auffret, Vincent A1 Campanha-Borges, Diego Carter A1 Fischer, Quentin A1 Muñoz-Garcia, Erika A1 Trillo-Nouche, Ramiro A1 Jorgensen, Troels A1 Serra, Vicens A1 Toggweiler, Stefan A1 Tarantini, Giuseppe A1 Saia, Francesco A1 Durand, Eric A1 Donaint, Pierre A1 Gutierrez-Ibanes, Enrique A1 Wijeysundera, Harindra C A1 Veiga, Gabriela A1 Patti, Giuseppe A1 D'Ascenzo, Fabrizio A1 Moreno, Raul A1 Hengstenberg, Christian A1 Chamandi, Chekrallah A1 Asmarats, Lluis A1 Hernandez-Antolin, Rosana A1 Gomez-Hospital, Joan Antoni A1 Cordoba-Soriano, Juan Gabriel A1 Landes, Uri A1 Jimenez-Diaz, Victor Alfonso A1 Cruz-Gonzalez, Ignacio A1 Nejjari, Mohammed A1 Roubille, François A1 Van Belle, Éric A1 Armijo, German A1 Siddiqui, Saifullah A1 Costa, Giuliano A1 Elsaify, Sameh A1 Pilgrim, Thomas A1 le Breton, Hervé A1 Urena, Marina A1 Muñoz-Garcia, Antonio Jesus A1 Sondergaard, Lars A1 Bach-Oller, Montserrat A1 Fraccaro, Chiara A1 Eltchaninoff, Hélène A1 Metz, Damien A1 Tamargo, Maria A1 Fradejas-Sastre, Victor A1 Rognoni, Andrea A1 Bruno, Francesco A1 Goliasch, Georg A1 Santaló-Corcoy, Marcelo A1 Jimenez-Mazuecos, Jesus A1 Webb, John G A1 Muntané-Carol, Guillem A1 Paradis, Jean-Michal A1 Mangieri, Antonio A1 Ribeiro, Henrique Barbosa A1 Campelo-Parada, Francisco A1 Rodés-Cabau, Josep K1 ST-segment elevation myocardial infarction K1 acute coronary syndrome K1 mortality K1 percutaneous coronary intervention K1 transcatheter aortic valve replacement AB Among patients with acute coronary syndrome following transcatheter aortic valve replacement (TAVR), those presenting with ST-segment elevation myocardial infarction (STEMI) are at highest risk. The goal of this study was to determine the clinical characteristics, management, and outcomes of STEMI after TAVR. This was a multicenter study including 118 patients presenting with STEMI at a median of 255 days (interquartile range: 9 to 680 days) after TAVR. Procedural features of STEMI after TAVR managed with primary percutaneous coronary intervention (PCI) were compared with all-comer STEMI: 439 non-TAVR patients who had primary PCI within the 2 weeks before and after each post-TAVR STEMI case in 5 participating centers from different countries. Median door-to-balloon time was higher in TAVR patients (40 min [interquartile range: 25 to 57 min] vs. 30 min [interquartile range: 25 to 35 min]; p = 0.003). Procedural time, fluoroscopy time, dose-area product, and contrast volume were also higher in TAVR patients (p  STEMI after TAVR was associated with very high in-hospital and mid-term mortality. Longer door-to-balloon times and a higher PCI failure rate were observed in TAVR patients, partially due to coronary access issues specific to the TAVR population, and this was associated with poorer outcomes. YR 2021 FD 2021 LK http://hdl.handle.net/10668/17727 UL http://hdl.handle.net/10668/17727 LA en DS RISalud RD Apr 6, 2025