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

被引：7

作者：

Buono, Andrea ^{[1
]}

Morello, Alberto ^{[2
]}

Pero, Gaetano ^{[1
]}

Corcione, Nicola ^{[2
]}

Bettari, Luca ^{[1
]}

Saccocci, Matteo ^{[3
]}

Villa, Emmanuel ^{[3
]}

Biondi-Zoccai, Giuseppe ^{[4
,5
]}

Giordano, Arturo ^{[2
]}

Maffeo, Diego ^{[1
]}

机构：

[1] Fdn Poliambulanza Ist Osped, Cardiovasc Dept, Intervent Cardiol Unit, Via Bissolati 57, I-25124 Brescia, Italy

[2] Pineta Grande Hosp, Unita Operat Interventist Cardiovasc, Via Domitiana Km 30-00, I-81030 Castel Volturno, Italy

[3] Fdn Poliambulanza Ist Osped, Dept Cardiothorac Surg, Brescia, Italy

[4] Sapienza Univ Rome, Dept Med Surg Sci & Biotechnol, Latina, Italy

[5] Mediterranea Cardioctr, Naples, Italy

来源：

CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2022年 / 40卷

关键词：

Transcatheter aortic valve replacement; Self-expanding transcatheter heart valve; Commissural alignment; Coronary obstruction; IMPLANTATION;

D O I：

10.1016/j.carrev.2021.07.027

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 stepby-step tutorial for each device. Lastly, we illustrate a commissural alignment in a contrast-zero TAVR. (c) 2021 Elsevier Inc. All rights reserved.

引用

页码：S139 / S143

页数：5

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