For patients presenting with ACS and severe aortic stenosis with critical left main disease, would you consider BAV prior to PCI to the left main?  

For patients presenting with acute coronary syndrome (ACS) and severe aortic stenosis with critical left main disease, the management approach can be complex and requires careful consideration of several factors. Balloon aortic valvuloplasty (BAV) may be considered as a temporary measure to alleviat...

This sounds like a CABG AVR case on the surface; if inoperable or at prohibitive surgical risk, CHIP of the LNA lesion, followed by same setting or elective setting TAVR remains an option. CFA access with a large bore sheath (for CHIP/IABP or IMPELLA) will allow for an easy transition exchange for t...