Aortic Annulus S-Curve: Implications for Transcatheter Aortic Valve Replacement and Related Procedures, Part 1

Ali Zgheib; Laurence Campens; Ali Abualsaud; Abdullah Al Isma'ili; Marco Barbanti; Danny Dvir; Hemal Gada; Juan F. Granada; Azeem Latib; Jonathon Leipsic; Francesco Maisano; Giuseppe Martucci; Horacio A. Medina de Chazal; Thomas Modine; Darren Mylotte; Bernard Prendergast; Fadi Sawaya; Marco Spaziano; Gilbert Tang; Pascal Theriault-Lauzier; Didier Tchetche; Nicolas van Mieghem; Lars Søndergaard; Ole De Backer; Nicolo Piazza

doi:10.1016/j.jcin.2022.08.039

Aortic Annulus S-Curve: Implications for Transcatheter Aortic Valve Replacement and Related Procedures, Part 1

Ali Zgheib, Laurence Campens, Ali Abualsaud, Abdullah Al Isma'ili, Marco Barbanti, Danny Dvir, Hemal Gada, Juan F. Granada, Azeem Latib, Jonathon Leipsic, Francesco Maisano, Giuseppe Martucci, Horacio A. Medina de Chazal, Thomas Modine, Darren Mylotte, Bernard Prendergast, Fadi Sawaya, Marco Spaziano, Gilbert Tang, Pascal Theriault-LauzierDidier Tchetche, Nicolas van Mieghem, Lars Søndergaard, Ole De Backer, Nicolo Piazza^*

^*Corresponding author for this work

Research output: Contribution to journal › Review › Research › peer-review

14 Citations (Scopus)

Abstract

Most transcatheter aortic valve replacement–related procedures (eg, transcatheter aortic valve replacement implantation depth, commissural alignment, coronary access, bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction, paravalvular leak closure) require an optimal fluoroscopic viewing angle located somewhere along the aortic annulus S-curve. Chamber views, coronary cusp and coronary anatomy, can be understood along the aortic annulus S-curve. A better understanding of the optimal fluoroscopic viewing angles along the S-curve may translate into increased operator confidence and improved safety and efficacy while reducing procedural time, radiation dose, contrast volume, and complication rates.

Original language	English
Journal	JACC: Cardiovascular Interventions
Volume	15
Issue number	23
Pages (from-to)	2353-2373
Number of pages	21
ISSN	1936-8798
DOIs	https://doi.org/10.1016/j.jcin.2022.08.039
Publication status	Published - 2022

Bibliographical note

Publisher Copyright:
© 2022 American College of Cardiology Foundation

Keywords

BASILICA
commissural alignment
coronary access post-TAVR
optimal projection curves
paravalvular leak closure
S-curves

Access to Document

10.1016/j.jcin.2022.08.039

Cite this

Zgheib, A., Campens, L., Abualsaud, A., Al Isma'ili, A., Barbanti, M., Dvir, D., Gada, H., Granada, J. F., Latib, A., Leipsic, J., Maisano, F., Martucci, G., Medina de Chazal, H. A., Modine, T., Mylotte, D., Prendergast, B., Sawaya, F., Spaziano, M., Tang, G., ... Piazza, N. (2022). Aortic Annulus S-Curve: Implications for Transcatheter Aortic Valve Replacement and Related Procedures, Part 1. JACC: Cardiovascular Interventions, 15(23), 2353-2373. https://doi.org/10.1016/j.jcin.2022.08.039

Aortic Annulus S-Curve : Implications for Transcatheter Aortic Valve Replacement and Related Procedures, Part 1. / Zgheib, Ali; Campens, Laurence; Abualsaud, Ali; Al Isma'ili, Abdullah; Barbanti, Marco; Dvir, Danny; Gada, Hemal; Granada, Juan F.; Latib, Azeem; Leipsic, Jonathon; Maisano, Francesco; Martucci, Giuseppe; Medina de Chazal, Horacio A.; Modine, Thomas; Mylotte, Darren; Prendergast, Bernard; Sawaya, Fadi; Spaziano, Marco; Tang, Gilbert; Theriault-Lauzier, Pascal; Tchetche, Didier; van Mieghem, Nicolas; Søndergaard, Lars ; De Backer, Ole; Piazza, Nicolo.

In: JACC: Cardiovascular Interventions, Vol. 15, No. 23, 2022, p. 2353-2373.

Research output: Contribution to journal › Review › Research › peer-review

Zgheib, A, Campens, L, Abualsaud, A, Al Isma'ili, A, Barbanti, M, Dvir, D, Gada, H, Granada, JF, Latib, A, Leipsic, J, Maisano, F, Martucci, G, Medina de Chazal, HA, Modine, T, Mylotte, D, Prendergast, B, Sawaya, F, Spaziano, M, Tang, G, Theriault-Lauzier, P, Tchetche, D, van Mieghem, N, Søndergaard, L , De Backer, O & Piazza, N 2022, 'Aortic Annulus S-Curve: Implications for Transcatheter Aortic Valve Replacement and Related Procedures, Part 1', JACC: Cardiovascular Interventions, vol. 15, no. 23, pp. 2353-2373. https://doi.org/10.1016/j.jcin.2022.08.039

Zgheib, Ali ; Campens, Laurence ; Abualsaud, Ali ; Al Isma'ili, Abdullah ; Barbanti, Marco ; Dvir, Danny ; Gada, Hemal ; Granada, Juan F. ; Latib, Azeem ; Leipsic, Jonathon ; Maisano, Francesco ; Martucci, Giuseppe ; Medina de Chazal, Horacio A. ; Modine, Thomas ; Mylotte, Darren ; Prendergast, Bernard ; Sawaya, Fadi ; Spaziano, Marco ; Tang, Gilbert ; Theriault-Lauzier, Pascal ; Tchetche, Didier ; van Mieghem, Nicolas ; Søndergaard, Lars ; De Backer, Ole ; Piazza, Nicolo. / Aortic Annulus S-Curve : Implications for Transcatheter Aortic Valve Replacement and Related Procedures, Part 1. In: JACC: Cardiovascular Interventions. 2022 ; Vol. 15, No. 23. pp. 2353-2373.

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abstract = "Most transcatheter aortic valve replacement–related procedures (eg, transcatheter aortic valve replacement implantation depth, commissural alignment, coronary access, bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction, paravalvular leak closure) require an optimal fluoroscopic viewing angle located somewhere along the aortic annulus S-curve. Chamber views, coronary cusp and coronary anatomy, can be understood along the aortic annulus S-curve. A better understanding of the optimal fluoroscopic viewing angles along the S-curve may translate into increased operator confidence and improved safety and efficacy while reducing procedural time, radiation dose, contrast volume, and complication rates.",

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