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

Interventions for valvular disease and heart failure

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

EuroIntervention 2019;15:47-54. DOI: 10.4244/EIJ-D-19-00057

1. University of Washington, Seattle, WA, USA

Abstract

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.

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

Bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction. Part 2: how to perform BASILICA