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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Related Experiment Video

Updated: Sep 10, 2025

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Simultaneous Kissing Balloon Inflation Technique for Coronary Protection during Transcatheter Aortic Valve

Omar Aldalati1, Mohammad Alkhalil2,3, Mardi Hamra1

  • 1University Hospital of Wales, Cardiff, Wales, UK.

Heart Views : the Official Journal of the Gulf Heart Association
|August 25, 2025
PubMed
Summary

Simultaneous kissing balloon inflation during valve-in-valve transcatheter aortic valve replacement (ViV TAVR) effectively prevents coronary artery obstruction. This technique significantly improved patient outcomes in a challenging clinical scenario.

Keywords:
Case reportcoronary obstructioncoronary protectiontranscatheter aortic valve implantationvalve-in-valve

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Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Devices

Background:

  • Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure for aortic valve stenosis.
  • The valve-in-valve (ViV) TAVR approach is used for failing bioprosthetic valves.
  • Coronary artery obstruction is a serious complication during ViV TAVR.

Observation:

  • A patient undergoing ViV TAVR experienced a high risk of coronary artery obstruction.
  • Standard techniques were insufficient to mitigate the risk.
  • A novel approach was required to ensure procedural success and patient safety.

Findings:

  • The simultaneous kissing balloon inflation technique was successfully employed during ViV TAVR.
  • This technique effectively prevented coronary artery obstruction.
  • The patient demonstrated significant clinical improvement post-procedure.

Implications:

  • Kissing balloon inflation is a valuable strategy for managing coronary obstruction risk in ViV TAVR.
  • This technique may improve safety and outcomes for patients undergoing complex ViV TAVR procedures.
  • Further research should explore the broader application of this technique in high-risk TAVR cases.