Fusion Imaging Guidance for Coronary Reaccess After Valve-in-Valve Transcatheter Aortic Valve Replacement

Craig Basman; Ryan Kaple; Sung-Han Yoon; Vladimir Jelnin; Haroon Faraz

doi:10.1016/j.jaccas.2024.102298

Fusion Imaging Guidance for Coronary Reaccess After Valve-in-Valve Transcatheter Aortic Valve Replacement

JACC Case Rep. 2024 Mar 21;29(9):102298. doi: 10.1016/j.jaccas.2024.102298. eCollection 2024 May 1.

Authors

Craig Basman¹, Ryan Kaple¹, Sung-Han Yoon¹, Vladimir Jelnin¹, Haroon Faraz¹

Affiliation

¹ Hackensack University Medical Center, Hackensack, New Jersey, USA.

Abstract

Coronary reaccess can be difficult after valve-in-valve transcatheter aortic valve replacement. We present a case whereby prior valve-in-valve transcatheter aortic valve replacement created difficulty with coronary reaccess. Computed tomography-fluoroscopy fusion imaging was used for guidance to successfully engage the coronary arteries and perform percutaneous coronary intervention.

Keywords: computed tomography; coronary angiography; percutaneous coronary intervention; valve replacement.