Work

Frame Overlap Technique

Year: 2025

Type: article

Abstract: IMAGE: This clinical vignette introduces the frame overlap technique (FOT), which uses 2 large stent frames (LSFs) of the Evolut FX+ (Medtronic) valve to facilitate coronary ostial visualization after transcatheter aortic valve implantation (TAVI). CASE SUMMARY: An 82-year-old woman with severe aortic stenosis and coronary artery disease underwent successful TAVI with Evolut FX+. The FOT clarified the spatial relationship between the left coronary ostium and the LSF, enabling selective coronary cannulation. TAKE-HOME MESSAGES: The FOT provides a quick, angiography-guided method to evaluate coronary access after Evolut FX+ implantation, which is particularly valuable when rapid access is required in patients with coronary artery disease.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106123

Authors: Tetsuro Shimura, Masanori Yamamoto, Hitoshi Matsuo

Institutions: Gifu Heart Center, Toyohashi Heart Center, Nagoya Heart Center

Language: English

Topic: Cardiac Valve Diseases and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850