Exploration of Cardiology

Table 3. Strategy to prevent coronary artery obstruction

Strategy	Advantages
Lower implantation of the bioprosthesis	Preferring self-expandable valves for the possibility of re-capturing
Chimney snorkel stenting technique	Wiring the coronary artery and putting a stent on standby
Orthotopic snorkel stenting technique	Re-cannulation and wiring after THV release
BASILICA	Laceration of surgical leaflets with an electrified guidewire to create a communication between the sinus and neo-sinus

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

Declarations

Author contributions

MFC: Conceptualization, Writing—original draft, Validation, Supervision. GD: Formal analysis, Investigation. FC: Formal analysis, Investigation. LS: Formal analysis, Investigation, Methodology, Visualization, Writing—review & editing. All authors read and approved the submitted version.

Conflicts of interest

The authors declare that they have no conflicts of interest.

Ethical approval

The images are part of the SE 2030 study approved by the institutional ethics committees (291/294/295-Comitato Etico Lazio-1, 8 March 2021).

Consent to participate

Informed consent from the patients were obtained.

Consent to publication

Not applicable.

Availability of data and materials

Relevant data can be provided on reasonable request.

Funding

Not applicable.

Copyright

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