The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/252342 |
Resumo: | Transcatheter aortic valve implantation (TAVI) to manage structural bioprosthetic valve deterioration has been successful in mitigating the risk of a redo cardiac surgery. However, TAVI-in-TAVI is a complex intervention, potentially associated with feared complications such as coronary artery obstruction. Coronary obstruction risk is especially high when the previously implanted prosthesis had supra-annular leaflets and/or the distance between the prosthesis and the coronary ostia is short. The BASILICA technique (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) was developed to prevent coronary obstruction during native or valve-in-valve interventions but has now also been considered for TAVI-in-TAVI interventions. Despite its utility, the technique requires a not so widely available toolbox. Herein, we discuss the TAVI-in-TAVI BASILICA technique and how to perform it using more widely available tools, which could spread its use. |
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Tagliari, Ana PaulaSaadi, Rodrigo PetersenMedronha, Eduardo FerreiraSaadi, Eduardo Keller2022-12-03T05:11:35Z20212077-0383http://hdl.handle.net/10183/252342001153384Transcatheter aortic valve implantation (TAVI) to manage structural bioprosthetic valve deterioration has been successful in mitigating the risk of a redo cardiac surgery. However, TAVI-in-TAVI is a complex intervention, potentially associated with feared complications such as coronary artery obstruction. Coronary obstruction risk is especially high when the previously implanted prosthesis had supra-annular leaflets and/or the distance between the prosthesis and the coronary ostia is short. The BASILICA technique (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) was developed to prevent coronary obstruction during native or valve-in-valve interventions but has now also been considered for TAVI-in-TAVI interventions. Despite its utility, the technique requires a not so widely available toolbox. Herein, we discuss the TAVI-in-TAVI BASILICA technique and how to perform it using more widely available tools, which could spread its use.application/pdfengJournal of clinical medicine. Basel. Vol. 10, no. 23 (2021), 5534, 13 p.Vasos coronáriosSubstituição da valva aórtica transcateterBASILICACoronary artery obstructionTranscatheter aortic valve implantationTranscatheter aortic valve replacement.The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedureEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001153384.pdf.txt001153384.pdf.txtExtracted Texttext/plain53679http://www.lume.ufrgs.br/bitstream/10183/252342/2/001153384.pdf.txt328068ed3fd9c34de0942dd9c0272218MD52ORIGINAL001153384.pdfTexto completo (inglês)application/pdf2239029http://www.lume.ufrgs.br/bitstream/10183/252342/1/001153384.pdf27f17b6ba7c4060eb16b19f6338268bdMD5110183/2523422022-12-04 05:52:48.081043oai:www.lume.ufrgs.br:10183/252342Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2022-12-04T07:52:48Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure |
title |
The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure |
spellingShingle |
The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure Tagliari, Ana Paula Vasos coronários Substituição da valva aórtica transcateter BASILICA Coronary artery obstruction Transcatheter aortic valve implantation Transcatheter aortic valve replacement. |
title_short |
The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure |
title_full |
The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure |
title_fullStr |
The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure |
title_full_unstemmed |
The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure |
title_sort |
The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure |
author |
Tagliari, Ana Paula |
author_facet |
Tagliari, Ana Paula Saadi, Rodrigo Petersen Medronha, Eduardo Ferreira Saadi, Eduardo Keller |
author_role |
author |
author2 |
Saadi, Rodrigo Petersen Medronha, Eduardo Ferreira Saadi, Eduardo Keller |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Tagliari, Ana Paula Saadi, Rodrigo Petersen Medronha, Eduardo Ferreira Saadi, Eduardo Keller |
dc.subject.por.fl_str_mv |
Vasos coronários Substituição da valva aórtica transcateter |
topic |
Vasos coronários Substituição da valva aórtica transcateter BASILICA Coronary artery obstruction Transcatheter aortic valve implantation Transcatheter aortic valve replacement. |
dc.subject.eng.fl_str_mv |
BASILICA Coronary artery obstruction Transcatheter aortic valve implantation Transcatheter aortic valve replacement. |
description |
Transcatheter aortic valve implantation (TAVI) to manage structural bioprosthetic valve deterioration has been successful in mitigating the risk of a redo cardiac surgery. However, TAVI-in-TAVI is a complex intervention, potentially associated with feared complications such as coronary artery obstruction. Coronary obstruction risk is especially high when the previously implanted prosthesis had supra-annular leaflets and/or the distance between the prosthesis and the coronary ostia is short. The BASILICA technique (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) was developed to prevent coronary obstruction during native or valve-in-valve interventions but has now also been considered for TAVI-in-TAVI interventions. Despite its utility, the technique requires a not so widely available toolbox. Herein, we discuss the TAVI-in-TAVI BASILICA technique and how to perform it using more widely available tools, which could spread its use. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2022-12-03T05:11:35Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/252342 |
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2077-0383 |
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001153384 |
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http://hdl.handle.net/10183/252342 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Journal of clinical medicine. Basel. Vol. 10, no. 23 (2021), 5534, 13 p. |
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info:eu-repo/semantics/openAccess |
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openAccess |
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