South Florida Hospital News
Thursday January 23, 2020
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January 2020 - Volume 16 - Issue 7

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New BASILICA Technique Created by the NIH Recently Performed By Interventional Cardiologists in South Florida

Miguel Diaz, M.D., FACC, FSCAI, an experienced and expert clinical and interventional cardiologist and Marquand Patton Jr., D.O., FACC, FSCAI, FSVM, FASE, FASNC, RPVI, a highly-skilled and expert interventional cardiologist specializing in structural, coronary and peripheral interventions, both with Tenet Florida Physician Services (TFPS) and on-staff at Palmetto General Hospital in Hialeah, have recently completed one of the first BASILICA procedures ever in the State of Florida. The BASILICA procedure is performed when there is high-risk for coronary artery occlusion during transcatheter aortic valve replacement (TAVR). While a BASILICA procedure is rarely needed, it can be a life-saving measure in rare cases when the implanted TAVR leaflet occludes the coronary artery. The BASILICA technique involves using a catheter to direct an electrified guidewire through the base of the left coronary cusp leaflet into a snare in the left ventricular outflow tract (LVOT). Then, according to the National Institutes of Health, National Heart, Lung and Blood Institute (NIH), the guidewire is used to split the leaflet so that it cannot block the coronary artery once it has been pushed aside by the transcatheter heart valve.

The NIH-developed BASILICA technique prevents obstruction in heart valve replacement cases. Furthermore, according to the NIH, the BASILICA procedure has shown successful results for certain high-risk patients. The NIH adds that this novel technique has proven successful in preventing coronary artery obstruction during transcatheter aortic valve replacement (TAVR), a rare but often fatal complication. Called the Bioprosthetic Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstruction (BASILICA), the technique will increase treatment options for high-risk patients who need heart valve procedures and might not otherwise be treated. The findings by researchers at the National Institutes of Health have been published in the Journal of the American College of Cardiology: Cardiovascular Interventions (June 2019).
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