severe triple vessel disease :: Article Creator Obstructive CAD Can Be Left Alone Before TAVI, Observational Data Suggest Coronary artery disease may not need to be treated before dealing with symptomatic severe aortic stenosis (AS), data from a single, high-volume medical center suggest. In a series of nearly 2,000 patients, there were no differences in all-cause mortality or major adverse cardiovascular events between those with coronary artery disease, even those with high- and extreme-risk obstructive disease, and those without coronary lesions. "We've been doing this diligently now for a number of years," senior investigator Rishi Puri, MD, PhD (Cleveland Clinic, OH), told TCTMD. "In our experience, these patients do very well with TAVR first as it then allows you to tackle the coronary disease in good time in a stable, controlled fashion." Puri said that their analysis, which was published last week in the Europea