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“Dual role” guiding catheter: a new technique for patients requiring coronary protection during transcatheter aortic valve implantation

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Abstract

Coronary occlusion is a life-threatening complication during transcatheter aortic valve implantation (TAVI) that requires immediate revascularization. Conventionally, a total of 3 catheters are required to protect the coronary ostia during TAVI: a pigtail catheter for the angiographic evaluation of valve positioning, a guiding catheter, and a TAVI delivery system. In this case series, we present a new, simplified technique for patients who require coronary protection during TAVI using a total of only 2 catheters: a guiding catheter and TAVI delivery system. This simplified technique results in a simpler procedure and reduces vascular complications in this high-risk cohort.

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Acknowledgments

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Conflict of interest

Dr. Hayashida is a proctor for transfemoral-TAVI for Edwards Lifesciences. The other authors report no conflict of interest.

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Authors and Affiliations

  1. Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Tokyo, 160-8582, Japan

    Taku Inohara, Kentaro Hayashida, Fumiaki Yashima, Yuichiro Maekawa & Keiichi Fukuda

  2. Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan

    Hideyuki Shimizu

Authors
  1. Taku Inohara
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  2. Kentaro Hayashida
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  3. Fumiaki Yashima
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  4. Yuichiro Maekawa
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  5. Hideyuki Shimizu
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  6. Keiichi Fukuda
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Corresponding author

Correspondence to Kentaro Hayashida.

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Inohara, T., Hayashida, K., Yashima, F. et al. “Dual role” guiding catheter: a new technique for patients requiring coronary protection during transcatheter aortic valve implantation. Cardiovasc Interv and Ther 31, 131–135 (2016). https://doi.org/10.1007/s12928-015-0326-4

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  • DOI: https://doi.org/10.1007/s12928-015-0326-4

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