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Updated: Oct 26, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
554
Novel Techniques to Crossing a Severely Stenotic Aortic Valve
Ibrahim Yearoo1, Nikhil V Joshi1, Mark Turner1
1Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust, Bristol Royal Infirmary, Bristol, United Kingdom.
JACC. Case Reports
|July 28, 2021
Summary
This report details two advanced techniques for aortic valve crossing during transcatheter aortic valve replacement (TAVR). These methods, the balloon cushion and buddy balloon techniques, aid in successful valve implantation using balloon-expandable systems.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure for aortic stenosis.
- Facilitating aortic valve crossing is crucial for successful TAVR device deployment.
- Balloon-expandable systems require precise navigation across the native aortic valve.
Observation:
- Case 1: Employed a balloon cushion technique with an Edwards Sapien 3 valve.
- Case 2: Utilized a buddy balloon technique for successful aortic valve crossing and implantation with an Edwards Sapien Ultra valve.
Findings:
- Both the balloon cushion and buddy balloon techniques proved effective in facilitating aortic valve crossing.
- These techniques enabled successful implantation of balloon-expandable TAVR devices in complex cases.
- The described methods represent advanced strategies for challenging TAVR anatomies.
Implications:
- These techniques can enhance TAVR procedural success rates, particularly in cases with difficult valve anatomy.
- Adoption of these methods may reduce complications associated with aortic valve crossing.
- Further research can explore the broader applicability and outcomes of these advanced TAVR techniques.
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