First dedicated transcatheter leaflet splitting device: the ShortCut device

DOI: 10.4244/EIJ-D-22-00344

Didier Tchétché
Didier Tchétché1, MD; Susheel K. Kodali2, MD; Danny Dvir3, MD
1. Clinique Pasteur, Toulouse, France; 2. Columbia University Irving Medical Center, New York, NY, USA; 3. Shaare Zedek Medical Center, Jerusalem, Israel

Figure 1.  The Pi-Cardia ShortCut device. The ShortCut procedure:  A.  PA positioning; B. SE activation. The yellow circle shows splitting of the bioprosthetic leaflet facing the left main coronary artery; C. splitting; and D. good coronary flow post-split and TAVR. The arrow points to patency of the left main coronary artery at the end of the procedure. PA: positioning arm; SE: splitting element; TAVR: transcatheter aortic valve replacement

Coronary obstruction is a life-threatening complication that occurs in 2.3% of patients undergoing transcatheter aortic valve replacement (TAVR) for degenerated bioprostheses1. During a valve-in-valve (...

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