Objectives: To describe and to validate a new technique for crossing stenotic aortic valves (AV).
Background: Current techniques for crossing the AV may be time-consuming and hazardous.
Methods: One hundred consecutive patients with severe aortic stenosis treated by transfemoral TAVI were prospectively selected to have an initial attempt of 5 min to cross the AV with a novel pigtail/J-wire technique before switching to the conventional Amplatz/straight wire approach.
We report on a percutaneous transcatheter valve-in-valve implantation (Edwards-SAPIEN-XT) (Edwards Lifesciences Corp., One Edwards Way Irvine, CA 92614) in a 50-year-old i.v.
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