Transcatheter aortic valve implantation of a CoreValve device using novel real-time imaging guidance

Thorough imaging of the aortic valve and related structures is highly important before and during transcatheter aortic-valve implantation. However, conventional aortography is limited for guiding precise valve placement and depends on contrast injections. A real-time imaging system capable of guiding the operator during Edwards-SPAIEN valve procedures has been introduced (C-THV, Paieon, Inc.). We describe the first application of the novel C-THV system during CoreValve implantation in a very challenging clinical scenario that required precise high implantation using minimal contrast.