What challenge associated with coronary access following ViV-TAVR is overcome by this novel “Vertical Judkins” technique? - Image 3
Image in Interventional Cardiovascular Medicine: what is displayed on this image? ... and do not hesitate to comment how you would treat this case!
This fluoroscopic image was obtained during bench-testing of a 3D printed model based on a post-implantation CT scan from a patient who underwent valve-in-valve (ViV) TAVR with an ACURATE S valve inside a 25mm Mitroflow surgical bioprosthesis. The small aortic sinsues and higher implantation of the valve prohibited re-access to the left coronary artery.Selective cannulation was acheived using the "Vertical-Judkins" technique.
What challenge associated with coronary access following ViV-TAVR is overcome by this novel “Vertical Judkins” technique?
No comments yet!