Find out more about access: fluoroscopy guided access, echo-guided access, femoral angiography, straightening femoral trajectory with a stiff guidewire, preclosure...
Crossing the aortic valve
In patients undergoing TAVI, the retrograde crossing of the stenosed aortic valve is a condition sine qua non. The operators can use different catheter/wire combinations for the manoeuvre of crossing the aortic valve.
Safe stiff guidewire positioning in the left ventricle
Consult the safe stiff guidewire positioning in the left ventricle if you want to learn more about the basic technique and corrective manoeuvre.
Optimal projections: adjusting and obtaining optimal projection
A baseline aortogram indicates an optimal projection with all three aortic cusps aligned. This step is crucial during TAVI. The optimal projection also is essential for the placement of the device.
In patients with severe calcific aortic stenosis, balloon aortic valvuloplasty (BAV) is routinely performed in order to pre-dilate the stenosed aortic valve prior to transcatheter aortic valve implantation (TAVI). Although pre-dilatation is considered to be essential for the preparation of the valve landing zone, there is no clear evidence to support its clinical value.
Access closure: ProGlide device
Consult the vascular closure devices for access site closure with Abbott Vascular ProGlide.
Learn more about the enhanced efficacy of the ProGlide systems, which may be attributed to inherent design and characteristics of this closure device.