Pachyderm guiding catheter custom-shaped for BASILICA procedure

The BASILICA procedure (Bioprosthetic Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstruction) is the intentional splitting of the left cusp of the degenerated bioprostheses in the aortic position when percutaneous vale-in-valve implantation presents a risk of coronary artery occlusion.

To locate the point at which to traverse the valve leaflet, a guiding catheter such as Amplatz left (AL) with varying curvatures or Extra Back Up (EBU) is used, sometimes telescoped with a mammary artery catheter inside them. The Pachyderm catheters1 are curved in a way that reproduces the shape of the Alplatz left and mammary artery catheters together.

The Pachyderm guiding catheters, which will soon have the CE mark, will save a substantial amount of time, reducing manipulation and improving the efficacy of the procedure.

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Palabras clave: implante de válvula aórtica percutánea, BASILICA, prótesis aórtica degenerada, válcula en válvula. Keywords Percutaneous aortic valve implantation, BASILICA, degenerated aortic prosthesis, valve in valve.