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Equipment entrapment during redo‐TAVR with successful BASILICA procedure
Author(s) -
Qureshi Waqas T.,
Parker Matthew,
Walker Jennifer,
Kakouros Nikolaos
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29485
Subject(s) - medicine , valve replacement , complication , percutaneous , stent , cardiology , surgery , aortic valve , stenosis
Transcatheter aortic valve replacement (TAVR) for transcatheter heart valve failure has been suggested for high‐risk patients. TAVR‐in‐TAVR, however, may lead to complex leaflet interactions causing coronary ostial obstruction, which is a devastating complication. Coronary protection with provisional stent placement may be challenging. We describe the first percutaneous transaxillary case of TAVR‐in‐TAVR with Bioprosthetic Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstruction (BASILICA) where guide catheters used for coronary protection were entrapped between the valve frames. We describe anatomical predictors and management considerations. Operators should be aware of this important complication during TAVR‐in‐TAVR valve placement.