Evidence map›Paper›PMID 40259842›Full record

Trial reportEuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology2025

Outcomes of complex, high-risk percutaneous coronary intervention in patients with severe aortic stenosis: the ASCoP registry.

Claudio Montalto, Andrea R Munafò, Francesco Soriano, Ketina Arslani, Stephanie Brunner, Sarah Verhemel, Ottavia Cozzi, Antonio Mangieri, Andrea Buono, Mattia Squillace and 28 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05750927 (Aortic Stenosis With COmplex PCI), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05750927 completednot on this map

Aortic Stenosis With COmplex PCI (ASCOP) Features Retrospective Registry on Contemporary Management and Outcomes

TypeobservationalSponsorNiguarda HospitalRan2022 to 2023Enrolled100ConditionsAortic Valve Stenosis, Transcatheter Aortic Valve Replacement, Angioplasty, Balloon, Coronary, Coronary Artery DiseaseArmsTranscatheter aortic valve intervention (TAVI) and percutaneous coronary intervention (PCI)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Letter: Complex PCI in severe aortic stenosis: high risk, low reward?EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Article
  6. Reply: Complex PCI in severe aortic stenosis: high risk, low reward?EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Article
  7. Transcatheter aortic valve implantation with complex, high-risk indicated PCI.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

38 authors.

Claudio MontaltoInterventional Cardiology, De Gasperis Cardio Center, Niguarda Hospital, Milan, Italy.
Andrea R MunafòInterventional Cardiology, De Gasperis Cardio Center, Niguarda Hospital, Milan, Italy.
Francesco SorianoInterventional Cardiology, De Gasperis Cardio Center, Niguarda Hospital, Milan, Italy.
Ketina ArslaniThe Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Stephanie BrunnerHeart Center Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland.
Sarah VerhemelDepartment of Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands.
Ottavia CozziCardio Center, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Antonio MangieriCardio Center, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Andrea BuonoInterventional Cardiology Unit, Cardiovascular Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
Mattia SquillaceIRCCS Policlinico S. Donato, Milan, Italy.
Stefano NavaInterventional Cardiology, De Gasperis Cardio Center, Niguarda Hospital, Milan, Italy.
José Luis Díez GilHospital Universitario y Politécnico La Fe, Valencia, Spain.
Andrea ScottiMontefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Marco ForoniInterventional Cardiology Unit, IRCCS University Hospital of Bologna, Policlinico S. Orsola, Bologna, Italy.
Giuseppe EspositoInterventional Cardiology, De Gasperis Cardio Center, Niguarda Hospital, Milan, Italy.
Alessandro Mandurino-MirizziCardiology Department, Vito Fazzi Hospital, Lecce, Italy.
David BauerDepartment of Cardiology, Third Faculty of Medicine, Charles University, University Hospital Královské Vinohrady, Prague, Czech Republic.
Benjamin De OrnelasInterventional Cardiology Unit, Cardiovascular Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
Pablo CodnerDepartment of Cardiology, Rabin Medical Center, Petah Tikva, Israel.
Kerstin PiaydaCardioVascular Center Frankfurt (CVC), Frankfurt, Germany.
Italo PortoDepartment of Internal Medicine (DIMI), University of Genoa, Genoa, Italy.
Federico De MarcoDepartment of Interventional Cardiology, Centro Cardiologico Monzino IRCCS, Milan, Italy.
Horst SievertCardioVascular Center Frankfurt (CVC), Frankfurt, Germany.
Ran KornowskiDepartment of Cardiology, Rabin Medical Center, Petah Tikva, Israel.
Petr TousekDepartment of Cardiology, Third Faculty of Medicine, Charles University, University Hospital Královské Vinohrady, Prague, Czech Republic.
Dionigi FischettiCardiology Department, Vito Fazzi Hospital, Lecce, Italy.
Azeem LatibMontefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Jorge Sanz SanchezHospital Universitario y Politécnico La Fe, Valencia, Spain.
Diego MaffeoInterventional Cardiology Unit, Cardiovascular Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
Francesco BedogniIRCCS Policlinico S. Donato, Milan, Italy.
Bernhard ReimersCardio Center, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Damiano RegazzoliCardio Center, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Nicolas Van MieghemDepartment of Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands.
Lars SondergaardAbbott Structural Heart, Santa Clara, CA, USA.
Francesco SaiaInterventional Cardiology Unit, IRCCS University Hospital of Bologna, Policlinico S. Orsola, Bologna, Italy.
Stefan ToggweilerHeart Center Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland.
Ole De BackerThe Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Jacopo A OregliaInterventional Cardiology, De Gasperis Cardio Center, Niguarda Hospital, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a lack of evidence to guide treatment of patients with a concomitant indication for transcatheter aortic valve implantation (TAVI) and complex, high-risk percutaneous coronary intervention (PCI).

aimsWe aimed to assess different strategies of PCI timing in this high-risk TAVI cohort.

methodsThe ASCoP registry retrospectively included patients with a clinical indication for both TAVI and PCI with at least 1 criterion of complex or high-risk PCI. The primary endpoint was a composite of all-cause death and unplanned rehospitalisation for cardiovascular causes. The secondary endpoint was a composite of all-cause death, stroke, acute myocardial infarction, major bleeding, major vascular complication and unplanned revascularisation. Multivariable analysis was used to adjust for possible confounders.

resultsA total of 519 patients were included: 363 (69.9%) underwent staged procedures and 156 (30.1%) concomitant TAVI and PCI. After 441 (interquartile range 182-824) days, the primary endpoint occurred in 151 (36.5%) cases, without any significant difference between the 2 groups (p=0.98), while the secondary endpoint occurred more frequently in the concomitant group (n=36 [25.8%] vs n=57 [17.4%]; p=0.014).

conclusionsIn patients undergoing TAVI and complex/high-risk PCI, a concomitant strategy is associated with a higher rate of adverse events and increased procedural risk. (ClinicalTrials.gov: NCT05750927).

Indexed as

Aortic Valve StenosisPercutaneous Coronary InterventionTranscatheter Aortic Valve ReplacementAgedAged, 80 and overFemaleHumansMaleRegistriesRetrospective StudiesRisk FactorsSeverity of Illness IndexTreatment Outcome

Identifiers

PMID40259842
PMCPMC11995291

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.