Key result
Transcatheter heart valve commissural alignment is feasible, safe, and significantly reduces coronary overlap, particularly with self-expandable platforms, improving future coronary access.
Why the study?
As TAVR expands to lower-risk patients with longer life expectancy, commissural alignment is emerging as a cornerstone of the procedure to improve hemodynamics, future coronary access, and repeatability.
Design
Review
Authors
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Supports alignment to optimize future coronary access in TAVR; leaves open prospective validation of durability benefits.
Commissural alignment during TAVR is a feasible and increasingly important procedural step to optimize future coronary access and valve durability, particularly for younger patients requiring lifetime management of aortic stenosis.
Akodad et al. (2023) conducted a review in Severe aortic stenosis. Transcatheter heart valve commissural alignment was evaluated. Transcatheter heart valve commissural alignment is feasible, safe, and significantly reduces coronary overlap, particularly with self-expandable platforms, improving future coronary access.
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