My Toolkit in Interventional Cardiology

Protection wire through superficial femoral artery micropuncture in patients undergoing TAVI: when, how, why

A simple bailout technique for guidewire entrapment beneath a crushed stent, enabling safe and controlled extraction.

When standard catheters and wires repeatedly fail to cross a severely stenotic aortic valve, a simple modification of readily available equipment may provide a solution.

This step-by-step tutorial explains how to create and use a self-made steerable catheter system to facilitate valve crossing in complex TAVI anatomies.

When transfemoral access is not an option, the axillary route offers a fully percutaneous alternative for TAVI.

This step-by-step approach shows how to secure access and achieve reliable haemostasis using a combined suture- and plug-based strategy.

Recurrent mitral regurgitation after M-TEER can create a challenging scenario. Discover the ELASTA-Clip technique and its key steps to enable TMVR!

Distal radial access has rapidly evolved from an alternative technique to a valuable strategy for preserving radial patency while improving patient comfort and access-site safety.

This My Toolkit article provides a practical, problem-solving approach to understanding distal radial anatomy, overcoming technical challenges, and integrating ultrasound guidance to...

Large-bore femoral access closure remains a critical step in transfemoral TAVI, where access-site complications can significantly impact outcomes.

This My Toolkit article presents a step-by-step tutorial on a combined suture- and plug-based closure strategy using one ProStyle™ and one Angio-Seal®. The technique aims to achieve rapid, reliable...

Safari wire entrapment during TAVI is a rare but potentially serious complication, particularly with sheathless self-expanding valves. In this My Toolkit article, we describe a simple, effective technique using a parallel stiff guidewire to safely retrieve both the catheter and the entrapped Safari wire when performing...

Advancing a transcatheter heart valve through the septostomy can be tricky, with the wire sometimes prolapsing into the left atrium.

This step-by-step tutorial demonstrates a simple yet effective maneuver that allows smooth, controlled navigation from the right atrium to the mitral position, ensuring precise valve deployment.