Key result
Two supplemental buddy wires enable successful valve crossing and deployment in heavily calcified TAVI.
Why the study?
Does the use of 2 supplemental buddy wires improve crossing success during TAVI in extremely calcified aortic valves?
Case Report (n=1)
No
Does the use of 2 supplemental buddy wires improve crossing success during TAVI in extremely calcified aortic valves?
The use of two supplemental buddy wires during TAVI can provide additional support to successfully cross extremely calcified aortic valves.
We herein present clinical images illustrating a transcatheter aortic valve implantation within an extremely calcified aortic valve, which posed considerable difficulty in crossing the aortic annulus. To gain maximum support, we used 2 buddy wires to allow a balloon predilation and then a successful crossing of the transcatheter heart valve. This technique provides additional support for those performing this procedure and may be included in the armamentarium of transcatheter aortic valve specialists.
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Panagides et al. (2021) conducted a case report in Severe symptomatic aortic stenosis (n=1). Use of 2 supplemental buddy wires during TAVI was evaluated on Successful crossing and deployment of the transcatheter heart valve. The use of two supplemental buddy wires during transcatheter aortic valve implantation provided sufficient support to successfully cross and deploy a valve in an extremely calcified annulus.
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