“AML modification techniques that produce a laceration directed from base to tip of the leaflet should be preferred in ViMAC cases with incomplete anterior annular calcium and incomplete mitral rings or bands in which the aortic-mitral curtain remains unprotected from unintended lacerations.”
This EuroPCR 2026 late-breaker, published in JACC: Interventions, details the novel BATMAN technique to prevent LVOT obstruction during TMVR, a critical procedural challenge, showing high rates of success and safety.
Giustino et al. (Fri,) studied this question.