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.)
Central Illustration