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Case Reports
. 2022 Dec 1;2(2):100554.
doi: 10.1016/j.jscai.2022.100554. eCollection 2023 Mar-Apr.

Fusion Imaging-Guided BASILICA of a Stentless Bioprosthesis for Valve-in-Valve Transcatheter Aortic Valve Replacement

Craig Basman  1 , Taylor C Remillard  2 , Arber Kodra  1 , Luigi Pirelli  1 , S Jacob Scheinerman  1 , Chad A Kliger  1
Affiliations
Case Reports

Fusion Imaging-Guided BASILICA of a Stentless Bioprosthesis for Valve-in-Valve Transcatheter Aortic Valve Replacement

Craig Basman et al. J Soc Cardiovasc Angiogr Interv. .
No abstract available

Keywords: BASILICA; coronary obstruction; fusion imaging; transcatheter aortic valve replacement.

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Figures

Figure 1
Figure 1
BASILICA procedure with CTA-fluoroscopy fusion image guidance. (A) Preoperative computed tomography (CT) angiography revealed a low lying left coronary artery (LCA). (B) CT angiography postprocessing of the aortic root with the centerline of the LCA (blue line) and landmarks placed at the LCA ostium (blue); nadirs of the left coronary, right coronary, noncoronary cusps (purple/green/red); and 3F commissures (pink circled landmark). (C) Side projection with CT-fluoroscopy fusion imaging showing the LCA and marker of the left coronary cusp (pink) on the lateral aspect of the aortic root with the right coronary and noncoronary cusps overlapping on the contralateral side. (D) En face projection with the left coronary cusp and the LCA ostium aligned in the middle of the aortic root. (E) Successful leaflet traversal of the left coronary leaflet was subsequently performed. (F) Postimplant transesophageal echocardiography showed no paravalvular regurgitation and laminar flow into the LCA (white arrow). Pink circled landmarks represent the origin of the 3F commissures. Blue landmarks with lines represent the left coronary artery. Purple landmarks represent the left coronary cusp nadir. Green landmarks represent the right cusp nadir. Red landmarks represent the noncoronary cusp nadir.
See this image and copyright information in PMC

References

    1. Choi C.H., Cao K., Malaver D., et al. Redo-aortic valve replacement in prior stentless prosthetic aortic valves: transcatheter versus surgical approach. Catheter Cardiovasc Interv. 2022;99(1):181–192. - PubMed
    1. Khan J.M., Babaliaros V.C., Greenbaum A.B., et al. Preventing coronary obstruction during transcatheter aortic valve replacement: results from the multicenter international BASILICA registry. JACC Cardiovasc Interv. 2021;14(9):941–948. - PMC - PubMed
    1. Lederman R.J., Babaliaros V.C., Rogers T., et al. Preventing coronary obstruction during transcatheter aortic valve replacement: from computed tomography to BASILICA. JACC Cardiovasc Interv. 2019;12(13):1197–1216. doi: 10.1016/j.jcin.2019.04.052. - DOI - PMC - PubMed
    1. Basman C., Wang D., Pirelli L., et al. CTA-fluoroscopy fusion imaging for the guidance of cerebral embolic protection: pro-fusion rather than con-fusion. JACC Cardiovasc Interv. 2021;14(15):1736–1738. doi: 10.1016/j.jcin.2021.04.030. - DOI - PubMed

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