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There was a significant association between coronary obstruction event and ELOD≤2mm (log OR=6.180, p0.001). Our study showed that a combination of ELOD2mm and a longer leaflet length than mid-ostial height may be associated with increased risk for coronary obstruction during TAVR. Our study showed that a combination of ELOD less then 2 mm and a longer leaflet length than mid-ostial height may be associated with increased risk for coronary obstruction during TAVR. Hybrid coronary revascularization (HCR) is