Matias B. Yudi et al. JACC 2018;71:

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Date of download: 6/22/2016 Copyright © The American College of Cardiology. All rights reserved. From: A Novel Modification of the Retrograde Approach.

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Presentation transcript:

Matias B. Yudi et al. JACC 2018;71:1360-1378 Representative Technique to Reaccess the LCA After TAVR With a Self-Expanding Valve (A) JR4 used to successfully engage the left main coronary artery. (B) J-wire use to cross the lowest diamond above the skirt. (C) Coronary wire positioned in the coronary artery before railing the guide for selective engagement. (D) The guide could not cross the valve frame (black arrow), so a guide extension catheter (white arrow) was used to selectively engage the coronary artery. LCA = left coronary artery; other abbreviations as in Figures 4 and 7. Matias B. Yudi et al. JACC 2018;71:1360-1378 2018 American College of Cardiology Foundation