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Related Experiment Video

Updated: Jul 4, 2026

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
06:59

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Published on: June 3, 2018

Commissural and Coronary Alignment Strategies in Transcatheter Aortic Valve Replacement: Success Rate and Risks.

Clara Fernandez-Cordón1, Ignacio Amat-Santos1,2

  • 1Cardiology Department, University Clinical Hospital Valladolid Valladolid, Spain.

European Cardiology
|July 3, 2026
PubMed
Summary
This summary is machine-generated.

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Commissural alignment (CA) is crucial for younger aortic stenosis patients receiving transcatheter aortic valve implantation. This review explores CA

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Biomedical Engineering

Background:

  • Commissural alignment (CA) is gaining importance in managing younger patients with aortic stenosis undergoing transcatheter aortic valve implantation (TAVI).
  • Proper CA influences coronary access, future valve-in-valve procedures, and hemodynamic outcomes.
  • Advances in valve design and implantation techniques are optimizing CA.

Purpose of the Study:

  • To review the clinical impact, success rates, and limitations of commissural alignment in TAVI.
  • To highlight the potential advantages of coronary alignment over CA.
  • To describe current techniques for achieving CA with leading TAVI devices.

Main Methods:

  • Literature review of studies focusing on commissural alignment in TAVI.
Keywords:
Transcatheter aortic valve implantationbenefitscommissural alignmentcoronary alignmentriskstranscatheter aortic valve replacement

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Published on: August 8, 2025

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Last Updated: Jul 4, 2026

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
06:59

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Published on: June 3, 2018

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

  • Analysis of clinical outcomes related to CA.
  • Description of procedural techniques for CA using contemporary TAVI systems.

    • Main Results:

    • CA impacts coronary access, valve-in-valve feasibility, and hemodynamics in TAVI patients.
    • Evidence is growing regarding the benefits and techniques for achieving optimal CA.
    • Coronary alignment may offer an alternative or complementary approach to CA.

    Conclusions:

    • Commissural alignment is a key consideration for optimal TAVI outcomes in younger patients.
    • Understanding and applying CA techniques are essential for interventional cardiologists.
    • Further research into coronary alignment versus CA is warranted.