Valve-in-valve TAVR procedure stalled due to challenging aortic to prosthesis angle not allowing the advancement of the Evolut R into the failing 25 mm Magna prosthesis. Efforts to better align the TAVR device with the valve prosthesis by using conventional methods failed. Eventually, a buddy wire allowed advancement and successful deployment of the Evolut R 26 mm within the stenosed surgical valve. The role and methodology of buddy wire use in TAVR, valve-in-valve procedures (first report) and structural heart procedures is reviewed.
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| http://dx.doi.org/10.1016/j.carrev.2020.01.018 | DOI Listing |
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