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Modified Guide Anchoring "UNICORN" Technique for Valve-in-Valve TAVI: Navigating Hostile Anatomy With Leaflet

Mutaz Althobaiti1, Saleh Alghadeer2, Ahmed Alsaileek2

  • 1Adult Cardiology, King Abdulaziz Cardiac Center (KACC), Riyadh, Saudi Arabia; King Abdulaziz Medical City (KAMC), Ministry of National Guard Health Affairs (MNGHA), Riyadh, Saudi Arabia; King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.

JACC. Case Reports
|June 11, 2026
PubMed
Summary

Transcatheter aortic valve implantation in sutureless bioprostheses is challenging. A novel guide anchoring technique successfully enabled valve-in-valve implantation in a high-risk patient with complex coronary anatomy.

Keywords:
TAVIcoronary obstructionvalve-in-valve

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