Bailout Balloon Predilatation and Buddy Wire Technique for Crossing a Degenerated Sutureless Perceval Bioprosthesis with SAPIEN 3 Ultra Device in a Transcatheter Valve-in-Valve Intervention.

Cardiovascular revascularization medicine : including molecular interventions(2019)

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Abstract
•Degenerated bioprostheses could be difficult to cross in valve-in-valve procedures.•Balloon predilatation portends the risk of acute valvular regurgitation.•Predilatation can be performed from another access site.•Keeping the new prosthesis ready to be implanted seems a sensible approach.
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