Korean Circ J.  2021 Feb;51(2):187-188. 10.4070/kcj.2020.0454.

Controlled Valve Slide-Over Using a Buddy Balloon: “Shoehorn Technique”

Affiliations
  • 1Division of Cardiovascular Medicine, Sapporo Heart Center, Sapporo Cardio Vascular Clinic, Sapporo, Japan
  • 2Division of Cardiovascular Surgery, Sapporo Heart Center, Sapporo Cardio Vascular Clinic, Sapporo, Japan
  • 3Division of Anesthesiology, Sapporo Heart Center, Sapporo Cardio Vascular Clinic, Sapporo, Japan


Figure

  • Figure 1 Transfemoral TAVI for very severe aortic stenosis.(A-C) 3D computer tomography reconstruction shows severe calcification at non-coronary cusp (yellow allow). (D) BAV was performed. (E) Failure of a SAPIEN 3 (Edwards Lifesciences) 23 mm to cross the AV. (F) Repeat BAV. (G) Simultaneous pushing the system during balloon deflation and slipping over the AV. (H) Implantation of the SAPIEN 3 23 mm.AV = aortic valve; BAV = balloon aortic valvuloplasty; TAVI = transcatheter aortic valve implantation.

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