Risk Assessment of Coronary Artery Obstruction Following Valve-in-Valve TAVR Using Dual IVUS Ostial Evaluation Technique

2021 ◽  
Vol 14 (22) ◽  
pp. 2527-2529
Author(s):  
Tatsunori Takahashi ◽  
Yuhei Kobayashi ◽  
Sharon Bruoha ◽  
Mei L. Chau ◽  
Juan F. Granada ◽  
...  
2021 ◽  
Vol 10 (23) ◽  
pp. 5534
Author(s):  
Ana Paula Tagliari ◽  
Rodrigo Petersen Saadi ◽  
Eduardo Ferreira Medronha ◽  
Eduardo Keller Saadi

Transcatheter aortic valve implantation (TAVI) to manage structural bioprosthetic valve deterioration has been successful in mitigating the risk of a redo cardiac surgery. However, TAVI-in-TAVI is a complex intervention, potentially associated with feared complications such as coronary artery obstruction. Coronary obstruction risk is especially high when the previously implanted prosthesis had supra-annular leaflets and/or the distance between the prosthesis and the coronary ostia is short. The BASILICA technique (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) was developed to prevent coronary obstruction during native or valve-in-valve interventions but has now also been considered for TAVI-in-TAVI interventions. Despite its utility, the technique requires a not so widely available toolbox. Herein, we discuss the TAVI-in-TAVI BASILICA technique and how to perform it using more widely available tools, which could spread its use.


2011 ◽  
Vol 39 (3) ◽  
pp. 416-416 ◽  
Author(s):  
Petr Santavy ◽  
Martin Simek ◽  
Martin Troubil ◽  
Vladimir Lonsky

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