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

Interventions for valvular disease and heart failure

Infolding of a self-expanding bioprosthesis due to loss of nitinol memory during transcatheter aortic valve implantation

EuroIntervention 2020;16:e301-e302. DOI: 10.4244/EIJ-D-20-00204

1. Institute of Cardio-Vascular Diseases, The Madras Medical Mission Hospital, Chennai, India; 2. Department of Cardiology, Eternal Hospital, Jaipur, India

Figure 1. Computed tomography of native aortic annulus and serial fluoroscopic images of transcatheter aortic valve implantation procedure. A) Computed tomography of aortic annulus shows calcium at clock positions 2 and 6. B) In vitro fluoroscopic confirmation of the appropriately loaded 34 mm Evolut R valve system. C) Infolding of the valve frame is shown in between the arrows (dotted dark blue area in the cartoon inset). D) Underexpanded valve frame after complete release of the valve (dotted dark blue area in the cartoon inset). E) Balloon dilatation of the underexpanded valve frame with a 25 mm × 5 cm Z-MED II balloon. F) ...

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