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Case Reports
. 2024 Aug;104(2):419-421.
doi: 10.1002/ccd.31121. Epub 2024 Jun 16.

Simplified balloon-BASILICA: A different perspective

Nicolò Azzola Guicciardi  1 , Nicola Buzzatti  1 , Matteo Saccocci  1 , Francesco Maisano  1
Affiliations
Case Reports

Simplified balloon-BASILICA: A different perspective

Nicolò Azzola Guicciardi et al. Catheter Cardiovasc Interv. 2024 Aug.

Abstract

Nowadays, the long-life management of patients with aortic stenosis has emerged as one of the most debated issues. Transcatheter aortic valve replacement is more frequently performed in younger patients with lower surgical risk, and also the number of valve-in-valve (ViV) procedures has increased in the last few years. However, coronary obstruction is the most dreadful complication related to this procedure. To prevent coronary obstruction in the context of transcatheter aortic ViV implantation, the BASILICA (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) technique was developed. Although effective, BASILICA is complex and time-consuming. Hence, simpler, reproducible, and faster strategies are desirable. Here we present a promising simplified BASILICA technique employing an Armada Balloon to perform the leaflet laceration.

Keywords: AVDP—aortic valve disease; AVD—aortic valve disease; PVT—percutaneous valve therapy; TVI—transcatheter valve implantation; percutaneous intervention.

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References

REFERENCES

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