The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

A novel supra-annular plane that predicts TAVI prosthesis anchoring in raphe-type bicuspid aortic valve disease: the LIRA plane.

DOI: 10.4244/EIJ-D-19-00951

1. Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy, Italy
2. Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy
3. Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy; Cardiac Surgery Department, San Raffaele Scientific Institute, Milan, Italy
4. Interventional Cardiology Department, Rigshospitalet,University Hospital, Copenhagen,Denmark
5. Interventional Cardiology Department, Rigshospitalet,University Hospital, Copenhagen,Denmark
6. Interventional Cardiology Department, Heart and Vascular Center, Semmelweis University,Budapest,Hungary
7. Department of Cardiology Department, St Thomas’ Hospital, London, United Kingdom
8. Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola (RA), Italy
9. Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola (RA), Italy
10. Department of Cardiology, Montefiore Medical Center, New York, NY, United States
11. Cardiovascular Research Foundation, Columbia University NY, USA
12. Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy
13. Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy
Disclaimer:

As a public service to our readership, this article - peer reviewed by the Editors of EuroIntervention - has been published immediately upon acceptance as it was received. The content of this article is the sole responsibility of the authors, and not that of the journal or its publishers.

To read the full content of this article, please log in to download the PDF.

Transcatheter aortic valve implantation (TAVI) in patients with bicuspid aortic valves (BAV) may be associated with suboptimal procedural and clinical outcomes due to inappropriate prosthesis sizing, anatomical difficulties or technical factors [1]. The narrowest part of the aortic root in BAV anatomy seems at the supra-annular level (SA), across the aortic valve leaflets, instead of the annular virtual basal ring (VBR)[2]. The main objective of our study was to identify a supra-annular plane in pre-TAVI cardiac computed tomography (CT) scan that might predict the level of valve prosthesis anchoring in raphe type-BAV patients.

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article

The SYNTAX score on its way out or … towards artificial intelligence: part II