SURPLUS combined with ICG–NIR angiography ensured coronary patency and improved ejection fraction to 60–65% in a patient with severe prosthetic stenosis post-TAVR.
Does SURPLUS with intraoperative ICG-NIR angiography confirm coronary patency and ensure safe hemodynamic restoration in patients with failed TAVR and low coronary heights?
SURPLUS with intraoperative ICG-NIR angiography provides real-time assurance of coronary perfusion and safe hemodynamic restoration in patients with failed TAVR and challenging anatomy.
Absolute Event Rate: 0% vs 0%
Background: Redo aortic interventions after failed transcatheter aortic valve replacement (TAVR) are challenging, particularly with low coronary heights and dense frame ingrowth. Case Description: An 83-year-old woman with prior TAVR developed severe prosthetic stenosis. Surgical Resection of Prosthetic Valve Leaflets Under Direct Vision (SURPLUS) with implantation of a balloon-expandable aortic valve and intraoperative low-dose indocyanine green (ICG) near-infrared (NIR) angiography was performed. Real-time NIR imaging confirmed symmetric coronary opacification. The valve was well seated with improved ejection fraction (60–65%), and recovery was uneventful. Conclusion: SURPLUS with ICG–NIR angiography ensured coronary patency and safe hemodynamic restoration.
Solomon et al. (Fri,) reported a other. SURPLUS combined with ICG–NIR angiography ensured coronary patency and improved ejection fraction to 60–65% in a patient with severe prosthetic stenosis post-TAVR.