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3. The problem No crossing of the 26 mm CRS (whatever we did),
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1. The patient• Female patient, 76 years old,• Aortic stenosis, accepted for TAVI,• Technical details:
Porcelain aortaAortic annulus: 21 x 23 mm
2. The procedure• Echo-guided femoral access,• Crossing aortic valve (Amplatz left-2, Kimal straight),• Balloon valvuloplasty (23 x 60 mm Z-Med balloon):
3. The problem• No crossing of the 26 mm CRS (whatever we did),
4. The solution• 6 Fr Pigtail in commissure into LV (“Buddy Pigtal”):
5. The question
• The etiology of no crossing?
- Is it patient related?- Is it anatomy related?- Is it device related?- Is it operator related?
• Did anyone else experience this problem?
• How did you solve the problem?
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