The use of BASILICA Technique to prevent coronary obstruction in a TAVI-TAVI procedure

Detalhes bibliográficos
Autor(a) principal: Tagliari, Ana Paula
Data de Publicação: 2021
Outros Autores: Saadi, Rodrigo Petersen, Medronha, Eduardo Ferreira, Saadi, Eduardo Keller
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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spelling 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
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dc.identifier.issn.pt_BR.fl_str_mv 2077-0383
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dc.language.iso.fl_str_mv eng
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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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