Key result
A simplified BASILICA technique using high energy electrocautery was successfully utilized to prevent coronary artery obstruction during valve-in-valve TAVR in a single patient.
Case Report (n=1)
A simplified concept of the BASILICA technique using high energy electrocautery can be successfully utilized to prevent coronary artery obstruction during VIV TAVR when the full procedure cannot be completed.
Transcatheter aortic valve replacement (TAVR) is well-established for the treatment of bioprosthetic aortic valve stenosis (AS) in high surgical risk patients. Coronary artery obstruction from displacement of the bioprosthetic valve leaflets during valve-in-valve (VIV) TAVR is a rare, but potentially fatal, complication. Recently, the bioprosthetic aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction (BASILICA) procedure was developed as a method for disrupting bioprosthetic leaflets in patients undergoing VIV TAVR at high risk for coronary obstruction. This case describes a successful VIV TAVR utilizing a simplified concept of the BASILICA technique in a patient where the full procedure could not be completed.
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Nelson et al. (2018) conducted a case report in Bioprosthetic aortic valve stenosis (n=1). Simplified BASILICA technique (high energy electrocautery) was evaluated. A simplified BASILICA technique using high energy electrocautery was successfully utilized to prevent coronary artery obstruction during valve-in-valve TAVR in a single patient.
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