TABLE 4.
Favorable and unfavorable anatomical features of patients.
Anatomy | Favorable for BASILICA | Unfavorable for BASILICA |
---|---|---|
Calcium | • Typical calcium pattern which spares the nadir of the leaflet | • Confluent calcium at the leaflet nadir • Bulky calcium mass on the leaflet |
Bioprosthesis | • Commissures aligned with native commissures | • Bioprosthetic valve post in-front of coronary artery ostium |
Access | • Femoral access for BASILICA catheters preferred for ergonomics | • Non-femoral access (femoral artery or transcaval) for double leaflet BASILICA |
Coronary obstruction risk | • Single leaflet BASILICA • Risk from sinus sequestration |
• Double BASILICA not recommended for new operators in their first 2-3 cases |