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  • Balloon-Assisted Tracking (BAT) of an Uncrossable Aortic Valve During Transcatheter Aortic Valve Implantation

    • Posted: 12/16/2020
    • Author:

      Richard J. Jabbour, Christopter Cook, Henry Seligman, Christopher Rajkumar, ... Iqbal S. Malik

    • CRM2020

    Highlights

    • This case highlights the use of unconventional equipment when performing TAVR in patients with complex anatomy and an extremely calcified aortic valve (Ca score >10000).
    • No conventional catheter (or even Guideliner) would cross the valve into the LV.
    • A coronary wire and balloon inflation was required to facilitate entry into the LV.
    • Alternative techniques include the mother-in-child technique or anterograde crossing of the aortic valve via a transapical or transseptal puncture.

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