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

Reply to the letter to the editor

Reply: Horizontal aorta in transcatheter aortic valve replacement – several open questions

EuroIntervention 2020;16:e781-e782. DOI: 10.4244/EIJ-D-19-00709R

1. Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Italy; 2. Unit of Cardiovascular Interventions, IRCCS San Raffaele Scientific Institute, Milan, Italy; 3. Citta della Salute e della Scienza, Turin, Italy


We appreciate the interest of Veulemans and colleagues1 in our article “Impact of horizontal aorta on procedural and clinical outcomes in second-generation transcatheter aortic valve implantation”2.

In their letter, three main remarks can be outlined, for which we provide the following comments.

1. The previously established threshold to define horizontal aorta (HA) for first-generation valves (aortic angulation [AA] ≥48°) as proposed by Abramowitz et al3 should be adjusted to current prosthesis generations and even further to several device sizes.

We addressed this issue in the paper by assessing the association of the AA as ...

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