Commissural Alignment With New-Generation Self-Expanding Transcatheter Heart Valves During Aortic Replacement.

Authors :: Buono A
Morello A
Pero G
Corcione N
Bettari L
Saccocci M
Villa E
Biondi-Zoccai G
Giordano A
Maffeo D
Source :: Cardiovascular revascularization medicine : including molecular interventions [Cardiovasc Revasc Med] 2022 Jul; Vol. 40S, pp. 139-143. Date of Electronic Publication: 2021 Jul 30.
Publication Year :: 2022
Abstract: Preserving coronary artery access is a crucial goal during transcatheter aortic valve replacement (TAVR) procedures, especially in case of self-expandable transcatheter heart valve (SE-THV) implantation. In this light, a proper commissural alignment is needed to avoid the risk of coronary obstruction and to permit easy vessels re-cannulation for diagnostic and interventional purposes. New-generation SE-THVs have been furnished of different markers, able to guide operators to perform a correct commissural alignment. In this case series, we describe key procedural aspects of commissural alignment for the different available SE-THVs, providing a step-by-step tutorial for each device. Lastly, we illustrate a commissural alignment in a contrast-zero TAVR.<br />Competing Interests: Declaration of competing interest Giuseppe Biondi-Zoccai has consulted for Cardionovum, Innovheart, Meditrial, Opsens Medical, and Replycare.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)

Subjects :: Aortic Valve diagnostic imaging
Aortic Valve surgery
Humans
Prosthesis Design
Treatment Outcome
Aortic Valve Stenosis diagnostic imaging
Aortic Valve Stenosis surgery
Heart Valve Prosthesis
Transcatheter Aortic Valve Replacement adverse effects

Language :: English
ISSN :: 1878-0938
Volume :: 40S
Database :: MEDLINE
Journal :: Cardiovascular revascularization medicine : including molecular interventions
Publication Type :: Report
Accession number :: 34362686
Full Text :: https://doi.org/10.1016/j.carrev.2021.07.027

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