Snare-Assisted Valve Positioning of Self-Expanding Valves for Transcatheter Aortic Valve Replacement.

We describe 4 cases in which technical challenges were anticipated in delivering a self-expanding TAVR valve due to challenging aortic anatomy or a previous placed surgical aortic valve. An upfront snare strategy is described which facilitates valve centralization and atraumatic valve delivery. ( Level of Difficulty: Advanced. ).
Competing Interests: Dr. Anwaruddin is on the advisory board of Medtronic; has received speaker fees from Medtronic and Edwards Lifesciences; has received honoraria from Medtronic and Siemens; and has been a consultant for V wave. Dr. Herrmann has received institutional research funding from Abbott, Boston Scientific, Edwards Lifesciences, and Medtronic; and has received consulting fees from Abbott, Edwards Lifesciences, and Medtronic. Dr. Desai has received institutional research funding from Core, Medtronic, and Cook; and has received consulting fees from Core, Medtronic, Terumo, and Edwards Lifesciences. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2021 The Authors.)