My Toolkit in Interventional Cardiology

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.

When a rota burr stalls in a calcified artery, quick thinking and the right technique are critical. Discover a proven method to recover the burr safely and avoid surgery.

Trapping wires during complex PCI is essential but dedicated trapping balloons aren’t always on hand — and costs add up fast. This My Toolkit tip shows you how to safely reuse a standard PTCA balloon by stiffening its shaft with the original stylet, making valve crossing...

Crossing the aortic valve can pose significant challenges, particularly in cases involving a horizontal aorta, bulky asymmetric calcifications, or prior prosthesis implantation in valve-in-valve procedures. While some TAVI devices feature deflectable delivery systems to enhance coaxiality, current self-expanding valves lack this capability. When standard techniques like...