Strategy to prevent coronary artery obstruction
Strategy | Advantages |
---|---|
Lower implantation of the bioprosthesis | Preferring self-expandable valves for the possibility of re-capturing |
Chimney snorkel stenting technique | Wiring the coronary artery and putting a stent on standby |
Orthotopic snorkel stenting technique | Re-cannulation and wiring after THV release |
BASILICA | Laceration of surgical leaflets with an electrified guidewire to create a communication between the sinus and neo-sinus |
BASILICA: Bioprosthetic or Native Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstruction; THV: transcatheter heart valves