Pre-TAVR Leaflet Cut Backed by Registry

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Registry data suggested that valve leaflet laceration helped protect patients at risk of coronary artery obstruction during transcatheter aortic valve replacement (TAVR).
Safety of the electrosurgical technique, known as Bioprosthetic or native Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstruction (BASILICA), was reflected in the 3.4% rate of death or disabling stroke at 30 days among 214 patients.
Incidence was 2.8% for mortality, 2.8% for stroke, and 0.5% for disabling stroke, according to Ron Waksman, MD, of MedStar Washington Hospital Center, D.C., and colleagues, reporting in
"This is comparable to outcomes in patients undergoing TAVR who are not specifically at risk of coronary artery obstruction," the authors noted in their manuscript, presented simultaneously during the virtual Cardiovascular Research Technologies conference on Saturday.

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