Bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction. Part 1: how to evaluate patients for BASILICA

被引:28
作者
Komatsu, Ikki [1 ]
Mackensen, G. Burkhard [1 ]
Aldea, Gabriel S. A. [1 ]
Reisman, Mark [1 ]
Dvir, Danny [1 ]
机构
[1] Univ Washington, 1959 NE Pacific St,C502-A, Seattle, WA 98195 USA
关键词
coronary obstruction; TAVI; valve-in-valve; VALVE-REPLACEMENT; TRANSCATHETER; RISK; OUTCOMES; THERAPY;
D O I
10.4244/EIJ-D-19-00057
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary obstruction is a life-threatening complication of transcatheter aortic valve replacement. BASILICA (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) seems to be an effective method for preventing that complication. In this article, we describe how to assess patients for their risk of coronary obstruction and how to evaluate for BASILICA, including defining coronary cusp fluoroscopic projections and analysing coronary ostia eccentricity.
引用
收藏
页码:47 / 54
页数:8
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