BASILICA Technique: Why, When and How?
Key result
The BASILICA procedure mitigates the risk of coronary artery obstruction during transcatheter aortic valve replacement by deliberately lacerating the valve leaflet to maintain coronary perfusion.
Why the study?
Coronary artery obstruction is a commonly fatal complication after transcatheter aortic valve replacement, which the BASILICA procedure mitigates.
Design
Review
Authors
Discussion
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Member takes
Implication
May be offered after heart-team review in high-risk anatomy; leaves open larger prospective outcome trials.
Structured PICO
P
Population
Patients undergoing transcatheter aortic valve replacement at risk of coronary artery obstruction
I
Intervention
BASILICA procedure (bioprosthetic or native aortic scallop intentional laceration)
The BASILICA procedure is a technique to prevent iatrogenic coronary artery obstruction during TAVR by intentionally lacerating the aortic leaflet.
Cite This Study
Gill et al. (2026) conducted a review in Coronary artery obstruction after transcatheter aortic valve replacement. BASILICA procedure was evaluated. The BASILICA procedure mitigates the risk of coronary artery obstruction during transcatheter aortic valve replacement by deliberately lacerating the valve leaflet to maintain coronary perfusion.