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Practical Considerations For PCI in Post-TAVR Patients

This activity is part of the Practical Considerations for PCI in Post-TAVR Patients grant project. 


Accreditation Statement 

In accordance with ACCME policy, prior to participating in this activity, you must review the information on this page. 

Joint Accreditation 

Joint AccreditationStatement 
In support of improving patient care, the American College of Cardiology Foundation (ACCF) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.  

Credit-Designation Statement: 

The ACCF designates this internet enduring material for a maximum of up to 2.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.5 points Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program.

Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Method of Participation and CME Certificate 

To request credit, you must: 

  1. Complete all Course Material, including watching the entire video presentation.
  2. Click the Claim Credit button and answer all required evaluation questions.
  3. In the drop-down box provided, select the total amount of credit you wish to claim. If there are multiple modules within the activity, you may only claim credit for each one once. Click Claim CME
  4. You will receive a message that your request has been submitted and a link to view and download your certificate. You can also view your certificate at any time in the My Transcript section of My ACC. 

This certified activity may contain links to other educational resources such as clinical trial summaries, journal articles, guidelines, etc., that may not be certified. Please note that clicking on the links provided to view these resources will open new windows, which are outside of this certified activity.”

Learner Objective
Upon completion of this activity, you should be able to:  

  • Identify the challenges for PCI procedures on post-TAVR patients. 

Target Audience: 

The primary target audience for this education is interventional cardiologists.

Important Dates:

Date of Release: July 3, 2024 
Term of Approval/Date of Expiration: September 30, 2025 


This activity is supported by an unrestricted educational grant from Medtronic.  

Statement of Need:  
In the United States, aortic stenosis (AS) is one of the most prevalent forms of valve disease in individuals ≥65 years of age. Coronary artery disease (CAD) often accompanies AS and is estimated to be present in 15-80% of patients with severe AS. Transcatheter aortic valve replacement (TAVR) has revolutionized the management of patients with AS, and its indication has expanded to include younger patients (<65 years of age) with lower-risk profiles who will, therefore, have a longer life expectancy. The expanded indications for TAVR in conjunction with the progressive nature of CAD, will place an increasing demand on interventional cardiologists to perform coronary angiography (CA) and percutaneous coronary intervention (PCI) on patients with prosthetic valves, many of whom will have had limited exposure to transcatheter valve interventions. Clinicians will, therefore, need to understand the potential challenges of CA and PCI, and the special considerations and careful planning required to ensure procedural success, as technical difficulties with coronary re-engagement have been described.   


Poonam Velagapudi, MD, MS, FACC
Structural and Interventional Cardiologist


Advisory Board: Medtronic
Speaking Fee
: Medtronic, Shockwave

Hassaan Arshad, MD 
Houston Methodist Hospital 
Fellow in Training 
Dr. Arshad has nothing to disclose  

Puja Parikh, MD, FACC
Stony Brook University Medical Center
Associate Professor of Medicine
Consultant Fees/Honoraria: Medtronic

Robert Pyo, MD, FACC 

Stony Brook University Hospital 

Director Interventional Cardiology

Speaker’s Bureau: Boston Scientific  

Sachin S. Goel, MBBS, FACC 
Houston Methodist Hospital, Houston Methodist DeBakey Cardiology Associates 
Medical Director, Structural Heart Interventions 
Consultant Fees/Honoraria: Medtronic, Boston Scientific, JC Medical, W L Gore & Associates   
Speaker’s Bureau: Abbott Structural Heart 

Availability: On-Demand
Expires on Sep 30, 2025
Cost: FREE
Credit Offered:
2.5 CME Credits
2.5 ABIM-MOC Points
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