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Editorial
. 2020 Mar 1;95(4):849-850.
doi: 10.1002/ccd.28791.

BATMAN-Savior or vigilante?

Jaffar M Khan  1   2 , Robert J Lederman  1
Affiliations
Editorial

BATMAN-Savior or vigilante?

Jaffar M Khan et al. Catheter Cardiovasc Interv. .

Abstract

BATMAN is a new technique to prevent left ventricular outflow tract (LVOT) obstruction from transcatheter mitral valve replacement (TMVR) by deploying the transcatheter heart valve from the apex through a perforation of the anterior mitral valve leaflet. The risks of uncontrolled balloon dilatation of the anterior mitral valve leaflet include extension of the tear superiorly into the aorto-mitral curtain or laterally to avulse the trigone from the annulus. Percutaneous laceration of the anterior mitral leaflet, pre-emptive alcohol septal ablation, and transatrial leaflet resection are alternative strategies that prevent LVOT obstruction from TMVR.

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Conflict of interest statement

CONFLICT OF INTEREST

NHLBI and Edwards Lifesciences have a cooperative research and development agreement towards transcatheter modification of the mitral valve (principal investigator: Dr. Lederman).

Comment on

References

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