TAVI and concomitant procedures: from PCI to LAA closure.

In high-risk patients with aortic stenosis and associated cardiac comorbidities (such as coronary artery disease, atrial fibrillation or combined valve disease), transcatheter interventions offer a unique opportunity to mitigate these individuals' cardiovascular risk, either by staging the interventions, or by performing simultaneous procedures in a single session. The decision on which approach (staged vs. single session) to choose for an individual patient depends on clinical, anatomical and patient-related factors. While a staged approach may represent a preferable strategy in selected patients, concomitant treatment of combined cardiac diseases represents an appealing option in a majority of patients.