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

Editorial

Consolidating the BASILICA technique in TAVI patients at risk of coronary obstruction

EuroIntervention 2020;16:617-619. DOI: 10.4244/EIJV16I8A114

1. Quebec Heart & Lung Institute, Laval University, Quebec City, QC, Canada; 2. Heart Institute of Sao Paulo, University of Sao Paulo, Sao Paulo, Brazil


Coronary obstruction remains one of the most worrisome life-threatening complications of transcatheter aortic valve implantation (TAVI)1. While its incidence is low (<1%) in native aortic valves, it increases by ~4 to 6 times in the presence of a surgical aortic bioprosthesis (valve-in-valve [VIV] TAVI) (Figure 1)1,2. Current therapeutic approaches for such patients are still suboptimal (coronary wire/stent protection with bail-out snorkelling stenting and coronary artery bypass graft)1,3. The use of transcatheter electrosurgery for aortic leaflet laceration to prevent iatrogenic coronary artery obstruction (BASILICA) in TAVI procedures has emerged as a promising technique in this setting, but the experience remains very limited4.##...

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