Valve-in-Valve Workflow

Plan valve-in-valve procedures from a CT scan.

Review the existing valve, measure coronary clearance, and compare options for a redo TAVR procedure.

01 · Pre-procedural 0:00 — 0:13

Valve Identification

Identify the existing valve from CT and compare it with supported valve references.

Reference data for supported surgical and transcatheter valves
Review frame and leaflet shape
Compare possible valve matches
Select a valve from the available catalog

02 · Pre-procedural 0:13 — 0:51

Auto Measurements

Measure the existing valve frame and coronary heights. Review the neo-skirt in the selected cardiac phase.

Measure the inner frame diameter and opening
Review neo-skirt position across selected phases
Compare coronary heights with the neo-skirt
Review the space between the neo-skirt and aortic wall

03 · Pre-procedural 0:51 — 1:04

Recommendation

Compare valve sizes for the existing prosthesis and review coronary clearance for each option.

Compare supported transcatheter valve sizes
View coronary clearance for each option
Review available gradient estimates
Review the measurements behind each option

04 · Pre-procedural 1:04 — end

ViV Simulation

View the proposed valve inside the existing frame. Compare placement, expansion, and leaflet position.

View the new valve inside the existing frame
Review modeled expansion against the old frame
Review leaflet position and orientation
Save and compare deployment plans

05 · Risk Coronary risk

Leaflet Overhang

Review leaflet position and coronary clearance across selected cardiac phases.

View leaflet position in selected phases
Measure leaflet distance to the coronary opening
Compare neo-skirt and coronary heights
Compare clearance for each valve option

06 · Risk mitigation Leaflet management

BASILICA Assist

For selected high-risk cases, view a proposed BASILICA leaflet-laceration path.

View the proposed laceration path
Review leaflet position after the planned cut
Review the target cusp and path
Review the path with the valve placement plan

Valve-in-valve planning tools

Review a redo TAVR plan.

Review the existing valve, new valve position, and coronary clearance in one plan.

01

Start with the existing valve

Review the existing valve frame before comparing sizes for the new valve.

02

Check coronary clearance

Compare leaflet position and coronary clearance across selected phases.

03

Review BASILICA planning

For supported cases, review a BASILICA path with the valve plan.

See the valve-in-valve workflow.

Ask our team to walk through valve identification, sizing, and coronary clearance.

Request a demo ← TAVR Workflow