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The RASE Technique for Extraction of a Protruding Aorto-Ostial Coronary Stent
Raghav Gattani1, Evandro Martins Filho2, Ilan Vavilin3
1Virginia Heart, Falls Church, Virginia, USA; Inova Schar Heart and Vascular Institute, Falls Church, Virginia, USA.
JACC. Case Reports
|July 9, 2026
Summary
A novel technique called RASE (reverse hairpin-assisted avulsion and stent extraction) safely removes protruding aorto-ostial stents. This enables successful transcatheter aortic valve replacement (TAVR) when stent protrusion would otherwise preclude the procedure.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Aorto-ostial coronary stent protrusion into the aortic root poses risks during transcatheter aortic valve replacement (TAVR), including valve-stent interaction and device failure.
- Current management strategies for this complication are not well-established, necessitating innovative solutions.
