Coronary access techniques following ACURATE neo2 implantation in surgical bioprosthesis

DOI: 10.4244/EIJ-D-22-00149

Arif Khokhar
Arif A. Khokhar1,2, BCh, BM; Francesco Ponticelli3, MD; Adriana Zlahoda-Huzior2,4, MSc; Pawel Zakrzewski2, MSc; Ghada Mikhail1, MD, FRCP; Dariusz Dudek5,6, PhD; Francesco Giannini5, MD
1. Cardiology, Imperial College Healthcare NHS Trust, London, United Kingdom; 2. Digital Innovations & Robotics Hub, Krakow, Poland; 3. Humanitas University, Rozzano (MI), Italy; 4. Department of Measurement & Electronics, AGH University of Science & Technology, Krakow, Poland; 5. Interventional Cardiology Unit, GVM Care & Research, Maria Cecilia Hospital, Cotignola, Italy; 6. Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland

Figure 1. Novel coronary access techniques to bypass the ACURATE neo2 valve frame following ViV-TAVI. The vertical approach, narrow mammary and snake sinus techniques are presented with (from left to right): fluoroscopic images of diagnostic cannulation, percutaneous coronary intervention, internally mounted borescope view and ex vivo modelling. PCI: percutaneous coronary intervention; ViV-TAVI: valve-in-valve transcatheter aortic valve implantation

Coronary access after transcatheter aortic valve implantation (TAVI) procedures can be challenging due to anatomical, procedural or valve-related factors12. This challenge is further augmented during valve-in-valve (ViV) procedures due to the additional presence of transcatheter or surgical valve frames and leaflets3. Dedicated ...

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