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AS treatment has known a revolution since the introduction of TAVI. Now indications expand from critical AS to more complex such aortic disease as bicuspid and AR. The Lotus edge technology known as mechanical expandable TAVR device offer a unique treatment to complex aortic stenosis patients.  

Educational objectives

  • Know how to treat a bicuspid aortic valve with a Lotus edge TAVI device
  • Know how to select the size of the lotus valve
  • Know how to implant a Lotus edge step by step
  • Understand the potential advantages of the Lotus devices in bicuspid AS

 

Step-by-step procedure: supra-articular femoropopliteal percutaneous bypass

1) Planning the procedure using CT

2) Getting femoral access

3) Sheath advancement

4) Sentinel device positioning

5) Safari positioning and predilatation

6) Lotus deployment

7) Control of lotus deployment

8) closing of access site

Bibliography

 

Protocol

  • Procedure time: 50 min
  • Exposure time:18 min
  • Exposure: 892 mGy
  • Contraste volume:190 ml iomeron
Shooting date : 2019-10-18
Last update : 2021-07-08
2 comments
Join the Discussion
  • Shafiq K. Great case !!!
    Very well executed !!
    Beautifully explained step by step.
    Amazing, no use of Ultrasound for groin access.
    I love the contra-lateral angio for access site for the main sheath.
    Khalid Shafiq, MD, FACC, FSCAI.
    Paris, Texas, USA.

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    • ashok D. Great case.. excellent demonstration.. congratulations to whole team.. waiting ✋for next case to enjoy..
      Thanks for sharing

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