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. 2026 Jan 6;6(1):1–15. doi: 10.1016/j.jacasi.2025.10.025

Figure 2.

Figure 2

BASILICA Technique

(A) Astato guidewire directed toward the base of the target leaflet. Gooseneck snare in the LVOT. Safety wire in the LV apex. (B) After traversal of the target leaflet, Astato guidewire is snared in the LVOT. (C) A "flying V" configuration is created in the Astato wire by denuding and kinking a segment near the end of a wire converter, such as PiggyBack wire converter (Teleflex) or 0.035-inch microcatheter. (D) Echocardiography showing linear laceration at the target leaflet. Abbreviations as in Figure 1.