BASILICA safe and successful procedure with low rate of coronary obstruction: Study
USA: BASILICA is a safe procedure with low risk of stroke and death, according to a recent study in the journal JACC: Cardiovascular interventions. The procedure has a high success rate and low rate of coronary artery obstruction.
Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure that causes coronary artery obstruction in 0.7% of cases with 40% to 50% mortality. BASILICA (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) is a procedure for the prevention of coronary obstruction. However, there is a lack of data on safety and feasibility of this procedure in a large patient cohort.
Against the above background, Jaffar M. Khan, Emory University Hospital, Atlanta, Georgia, USA, and colleagues aimed to determine the safety of the BASILICA procedure.
The international BASILICA registry was a retrospective, multicenter, real-world registry of patients at risk of coronary artery obstruction undergoing BASILICA and transcatheter aortic valve replacement. Valve Academic Research Consortium-2 definitions were used to adjudicate events.
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