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Distal Anchor Balloon Technique to Facilitate Transcatheter Aortic Valve Delivery—A Case Report

Year: 2026

Type: article

Abstract: Transcatheter aortic valve replacement has been established as an advanced therapeutic modality for severe aortic stenosis. Despite procedural advancements, anatomical variations may hinder successful prosthetic valve delivery in certain cases. Delivering a relatively bulky prosthesis through a constricted and extensively stenosed surgical bioprosthetic valve remains challenging. Such cases require alternative procedural strategies to enable smooth device navigation. In this case, the presence of a surgical tissue prosthesis with a Dacron conduit resulted in stacking of the delivery system within the aortic arch. An anchor balloon (20/45 mm) over a buddy wire was used to assist in guidewire compression and effective valve advancement.

Source: Indian Journal of Clinical Cardiology

DOI: 10.1177/26324636261447979

Authors: Sasa Loncar, Vojislav Vukasinovic, Nikola Malesevic, Matjaž Bunc

Institutions: University of Banja Luka, University clinical center of Republika Srpska, Ljubljana University Medical Centre

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: diamond

OpenAlex ID: W7162216787

FWCI:

Cites: 9

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