Strategy to prevent coronary artery obstruction

StrategyAdvantages
Lower implantation of the bioprosthesisPreferring self-expandable valves for the possibility of re-capturing
Chimney snorkel stenting techniqueWiring the coronary artery and putting a stent on standby
Orthotopic snorkel stenting techniqueRe-cannulation and wiring after THV release
BASILICALaceration of surgical leaflets with an electrified guidewire to create a communication between the sinus and neo-sinus

BASILICA: Bioprosthetic or Native Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstruction; THV: transcatheter heart valves