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. Author manuscript; available in PMC: 2020 Jan 8.
Published in final edited form as: JACC Cardiovasc Interv. 2019 Jul 8;12(13):1197–1216. doi: 10.1016/j.jcin.2019.04.052

TABLE 3.

Steps to Plan BASILICA on a Computed Tomographic Scan

Step Figure
1. Define the exact annular plane. Figure 1
2. Measure coronary artery heights, STJ height, and sinus of Valsalva diameters. Online Figure 1
3. Do leaflet tips extend beyond coronary ostia or STJ? Online Figure 2
4. Select the outer diameter(s) of the intended TAVR device. Figure 2
5. Simulate a “virtual valve” implantation using a simple cylinder to model the TAVR implant. Position it at the annular center, and rotate as needed to conform to bioprosthetic struts. Figure 3
6. Measure VTC distances using the cylinder model. Confirm using simultaneous multiplanar reconstructions (short and long axes). Figure 4
7. Measure VTSTJ distances and depict using simultaneous multiplanar reconstructions (short and long axes). Figure 4
8. Assess target leaflet calcification. Online Figure 3
9. Determine BASIlICA projection angles. Opposing annular markers overlap in side projections; annular markers are evenly spaced in en face projections. Figure 5
10. Confounders: implantation characteristics and TAVR device. Figure 6
11. Confounders: SAVR. Online Figure 4
12. Confounders: anatomic. Online Figure 5

SAVR = surgical aortic valve replacement; STJ = sinotubular junction; VTC = virtual valve-to-coronary; VTSTJ = virtual valve-to-sinus of Valsalva; other abbreviations as in Table 1.