Cusp overlap technique for transcatheter self-expanding aortic valve implantation

Transcatheter aortic valve implantation (TAVI) may cause atrioventricular conduction disturbances and, consequently, the necessity for permanent pacemaker implantation (PPI). This is because the His bundle surfaces at the basal part of the membranous septum (in the neighbourhood of the non-coronary...

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Autores principales:	Jerzy Sacha, Krzysztof Krawczyk, Witold Gwóźdź, Jarosław Bugajski, Mariusz Darmetko, Marek Gierlotka
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/9bc5dbcc0f554b6f84e9a1bec23201a4
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spelling	oai:doaj.org-article:9bc5dbcc0f554b6f84e9a1bec23201a42021-12-02T17:46:06ZCusp overlap technique for transcatheter self-expanding aortic valve implantation1734-93381897-429510.5114/aic.2021.107509https://doaj.org/article/9bc5dbcc0f554b6f84e9a1bec23201a42021-07-01T00:00:00Zhttps://www.termedia.pl/Cusp-overlap-technique-for-transcatheter-self-expanding-aortic-valve-implantation,35,44601,1,1.htmlhttps://doaj.org/toc/1734-9338https://doaj.org/toc/1897-4295Transcatheter aortic valve implantation (TAVI) may cause atrioventricular conduction disturbances and, consequently, the necessity for permanent pacemaker implantation (PPI). This is because the His bundle surfaces at the basal part of the membranous septum (in the neighbourhood of the non-coronary cusp) and implant depth greater than the length of the membranous septum may interfere with the conduction system [1]. To mitigate this risk, the valve should be implanted at a high position to minimize the contact of the valve frame with the base of membranous septum. During TAVI, the valve is usually positioned in a coplanar fluoroscopic projection with 3 cusps view, but for a self-expanding valve, like the Evolut R (Medtronic, Minneapolis, Minnesota), such a view does not ensure a high implantation. However, a recently proposed technique based on a cusp overlap allows valve implantation at a very high position and significantly reduces the risk of PPI [2, 3].Jerzy SachaKrzysztof KrawczykWitold GwóźdźJarosław BugajskiMariusz DarmetkoMarek GierlotkaTermedia Publishing HousearticleMedicineRENAdvances in Interventional Cardiology, Vol 17, Iss 2, Pp 230-231 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Jerzy Sacha Krzysztof Krawczyk Witold Gwóźdź Jarosław Bugajski Mariusz Darmetko Marek Gierlotka Cusp overlap technique for transcatheter self-expanding aortic valve implantation
description	Transcatheter aortic valve implantation (TAVI) may cause atrioventricular conduction disturbances and, consequently, the necessity for permanent pacemaker implantation (PPI). This is because the His bundle surfaces at the basal part of the membranous septum (in the neighbourhood of the non-coronary cusp) and implant depth greater than the length of the membranous septum may interfere with the conduction system [1]. To mitigate this risk, the valve should be implanted at a high position to minimize the contact of the valve frame with the base of membranous septum. During TAVI, the valve is usually positioned in a coplanar fluoroscopic projection with 3 cusps view, but for a self-expanding valve, like the Evolut R (Medtronic, Minneapolis, Minnesota), such a view does not ensure a high implantation. However, a recently proposed technique based on a cusp overlap allows valve implantation at a very high position and significantly reduces the risk of PPI [2, 3].
format	article
author	Jerzy Sacha Krzysztof Krawczyk Witold Gwóźdź Jarosław Bugajski Mariusz Darmetko Marek Gierlotka
author_facet	Jerzy Sacha Krzysztof Krawczyk Witold Gwóźdź Jarosław Bugajski Mariusz Darmetko Marek Gierlotka
author_sort	Jerzy Sacha
title	Cusp overlap technique for transcatheter self-expanding aortic valve implantation
title_short	Cusp overlap technique for transcatheter self-expanding aortic valve implantation
title_full	Cusp overlap technique for transcatheter self-expanding aortic valve implantation
title_fullStr	Cusp overlap technique for transcatheter self-expanding aortic valve implantation
title_full_unstemmed	Cusp overlap technique for transcatheter self-expanding aortic valve implantation
title_sort	cusp overlap technique for transcatheter self-expanding aortic valve implantation
publisher	Termedia Publishing House
publishDate	2021
url	https://doaj.org/article/9bc5dbcc0f554b6f84e9a1bec23201a4
work_keys_str_mv	AT jerzysacha cuspoverlaptechniquefortranscatheterselfexpandingaorticvalveimplantation AT krzysztofkrawczyk cuspoverlaptechniquefortranscatheterselfexpandingaorticvalveimplantation AT witoldgwozdz cuspoverlaptechniquefortranscatheterselfexpandingaorticvalveimplantation AT jarosławbugajski cuspoverlaptechniquefortranscatheterselfexpandingaorticvalveimplantation AT mariuszdarmetko cuspoverlaptechniquefortranscatheterselfexpandingaorticvalveimplantation AT marekgierlotka cuspoverlaptechniquefortranscatheterselfexpandingaorticvalveimplantation
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Cusp overlap technique for transcatheter self-expanding aortic valve implantation

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