Key result
The buddy balloon technique using a peripheral 6-F compatible balloon enabled successful retrograde aortic valve crossing during a challenging transfemoral Medtronic CoreValve placement.
Why the study?
Does the buddy balloon technique facilitate retrograde aortic valve crossing during challenging transfemoral CoreValve placement?
Case Report (n=1)
Does the buddy balloon technique facilitate retrograde aortic valve crossing during challenging transfemoral CoreValve placement?
The buddy balloon technique can be a useful bailout strategy for challenging retrograde aortic valve crossing during TAVI.
May aid complex TAVI crossings; hypothesis-generating and requires prospective validation before adoption.
In rare cases, retrograde aortic valve crossing during transcatheter aortic valve implantation may be challenging despite improvements in delivery catheter profile, size, and steerability compared with the first generation devices. Herein, we report a case of challenging transfemoral Medtronic CoreValve placement that was possible, thanks to the buddy balloon technique, using a peripheral 6-F compatible balloon.
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Noble et al. (2013) conducted a case report in Aortic valve disease requiring transcatheter aortic valve implantation (n=1). Buddy balloon technique using a peripheral 6-F compatible balloon was evaluated. The buddy balloon technique using a peripheral 6-F compatible balloon enabled successful retrograde aortic valve crossing during a challenging transfemoral Medtronic CoreValve placement.
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