Transcatheter Aortic Valve Replacement Guided by Preprocedural Simulation of Fluoroscopic Location of the Membranous Septum

Shumpei Mori, MD, PhD; Olcay Aksoy, MD; Duc H. Do, MD, MS; Ravi H. Dave, MD; Kalyanam Shivkumar, MD, PhD

JACC: Case Reports (Jun 2023)

Transcatheter Aortic Valve Replacement Guided by Preprocedural Simulation of Fluoroscopic Location of the Membranous Septum

Shumpei Mori, MD, PhD,
Olcay Aksoy, MD,
Duc H. Do, MD, MS,
Ravi H. Dave, MD,
Kalyanam Shivkumar, MD, PhD

Affiliations

Shumpei Mori, MD, PhD: UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, California, USA; Address for correspondence: Dr. Shumpei Mori, UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, Center of Health Sciences, Suite 46-119C, 650 Charles E. Young Drive South, Los Angeles, California 90095, USA.
Olcay Aksoy, MD: UCLA Cardiovascular Interventional Programs, David Geffen School of Medicine at UCLA and UCLA Health System, Los Angeles, California, USA
Duc H. Do, MD, MS: UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, California, USA
Ravi H. Dave, MD: UCLA Cardiovascular Interventional Programs, David Geffen School of Medicine at UCLA and UCLA Health System, Los Angeles, California, USA
Kalyanam Shivkumar, MD, PhD: UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, California, USA; UCLA Cardiovascular Interventional Programs, David Geffen School of Medicine at UCLA and UCLA Health System, Los Angeles, California, USA

Journal volume & issue: Vol. 16
p. 101888

Abstract

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We show the virtual simulation of the fluoroscopic location of the membranous septum using preprocedural cardiac computed tomographic data sets. Recognizing the risk distance before the procedure can help individualize implantation strategy to reduce the risk of atrioventricular conduction axis damage during transcatheter aortic valve replacement. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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