PCR London Valves Best Cases: Dr. Zuyue Wang
TEE-guided TAVR using BASILICA technique in patient with stenotic Freestyle aortic bioprosthesis
Discover one of the Best Cases selected to be part of the 2018 PCR London Valves Programme featuring BASILICA technique to solve coronary obstruction during TAVR.
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In the presented case, Dr. Z. Wang and co-authors present a case of successful valve-in-valve TAVR using TEE guided BASILICA technique in a patient with stenotic Freestyle non radio-opaque bioprosthesis and low left main coronary artery height.
Why do you think your submission made it into this year’s Top 3 Best Cases?
- Coronary artery obstruction is a rare but fatal complication of transcatheter aortic valve replacement (TAVR). This Case demonstrates an innovative and feasible solution (BASILICA) to the problem of coronary obstruction during TAVR.
- It also emphasizes the important role of TEE in guiding BASILICA procedure and successful valve implantation in patient with bioprosthesis that is no radio-opaque.
How do you think your Case — which is now officially part of this year’s Programme — will impact the PCR London Valves community?
We hope that our Case presentation will offer a solution for others to consider this strategy to prevent coronary obstruction and increase the awareness of the important role played by TEE during the TAVR in patients with non radio-opaque stenotic bioprosthesis.
What are the fundamental learnings the PCR London Valves community will be able to draw out from your Case presentation?
There are 3 key takeaway messages from my submitted case:
- Coronary artery obstruction is a rare but fatal complication of transcatheter aortic valve replacement (TAVR)
- Transcatheter laceration of aortic leaflets (BASILICA-- Bioprosthetic Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstruction) offers a solution to prevent coronary obstruction during TAVR
- TEE plays an essential role in guiding BASILICA procedure and successful valve implantation in patient with low coronary height and stenotic aortic bioprosthesis that is no radio-opaque.
What are some of the reasons that drove you to submit for this year’s Programme? How do you think this achievement will influence your career?
My main motivations are to share our innovative work with fellow cardiovascular specialists at a premier international transcatheter valve meeting, to boost the visibility of our team, to increase the awareness of the echocardiographers' important role in the treatment of structural heart diseases, and hopefully to eventually play an active part in the teaching and building of PCR Course Programmes!
As an echocardiographer and clinical educator, I am truly honored that my case submission made it to the Top 3 this year and hope that it will advance my academic career in the innovative field of transcatheter therapies for valvular heart disease and play an active role in training more high quality echocardiographers to meet future challenges.
Tips for a successful PCR Submission by Dr. Z. Wang:
- Have an attractive and informative title to draw reviewer attention
- Use high quality, relevant and integrative multimodality images to explain the unique, challenging aspect of the cases, describe innovative treatment or solution, present positive or negative outcome, and finally list no more than 4 clear take-home messages. It is important to make sure that your reviewers or readers understand the important issues and lessons from your cases
