Transcript
![Page 1: 1. The patient Female patient, 76 years old, Aortic stenosis, accepted for TAVI, Technical details: Porcelain aorta Aortic annulus: 21 x 23 mm](https://reader035.vdocuments.mx/reader035/viewer/2022081507/5a4d1b4d7f8b9ab0599a6585/html5/thumbnails/1.jpg)
1. The patient• Female patient, 76 years old,• Aortic stenosis, accepted for TAVI,• Technical details:
Porcelain aortaAortic annulus: 21 x 23 mm
![Page 2: 1. The patient Female patient, 76 years old, Aortic stenosis, accepted for TAVI, Technical details: Porcelain aorta Aortic annulus: 21 x 23 mm](https://reader035.vdocuments.mx/reader035/viewer/2022081507/5a4d1b4d7f8b9ab0599a6585/html5/thumbnails/2.jpg)
2. The procedure• Echo-guided femoral access,• Crossing aortic valve (Amplatz left-2, Kimal straight),• Balloon valvuloplasty (23 x 60 mm Z-Med balloon):
![Page 3: 1. The patient Female patient, 76 years old, Aortic stenosis, accepted for TAVI, Technical details: Porcelain aorta Aortic annulus: 21 x 23 mm](https://reader035.vdocuments.mx/reader035/viewer/2022081507/5a4d1b4d7f8b9ab0599a6585/html5/thumbnails/3.jpg)
3. The problem• No crossing of the 26 mm CRS (whatever we did),
![Page 4: 1. The patient Female patient, 76 years old, Aortic stenosis, accepted for TAVI, Technical details: Porcelain aorta Aortic annulus: 21 x 23 mm](https://reader035.vdocuments.mx/reader035/viewer/2022081507/5a4d1b4d7f8b9ab0599a6585/html5/thumbnails/4.jpg)
4. The solution• 6 Fr Pigtail in commissure into LV (“Buddy Pigtal”):
![Page 5: 1. The patient Female patient, 76 years old, Aortic stenosis, accepted for TAVI, Technical details: Porcelain aorta Aortic annulus: 21 x 23 mm](https://reader035.vdocuments.mx/reader035/viewer/2022081507/5a4d1b4d7f8b9ab0599a6585/html5/thumbnails/5.jpg)
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?