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March 31, 2026Cardiology Journal0 citationsOpen Access

An innovative method to cross the aortic valve during TAVR

PXPengfei XuKXKai XuYHYaling Han

Key Result

Using a JL 3.5 7F guiding catheter and a 260 cm J-tipped wire successfully facilitated crossing a severely calcified bicuspid aortic valve in 87 seconds after standard methods failed.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
1 84-year-old man with symptomatic, severe aortic valve stenosis, bicuspid AV type 1 with severe calcification and non-coronary and right coronary cusps fusion, and aortic angulation of 64°.
I
Intervention
Use of a JL 3.5 7F guiding catheter advanced to the aortic root by a 260 cm J-tipped wire, with a straight-tip guidewire to cross the aortic valve.
O
Outcome
Successful crossing of the aortic valve

A modified technique using a JL 3.5 7F guiding catheter and a long J-tipped wire successfully facilitated crossing a difficult bicuspid aortic valve during TAVR.

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Cite This Study

Xu et al. (2026) conducted a case report in Severe aortic valve stenosis (n=1). JL 3.5 7F guiding catheter and 260 cm J-tipped wire vs. AL 2.0 6F catheter with or without snare assistance was evaluated on Successful crossing of the aortic valve. Using a JL 3.5 7F guiding catheter and a 260 cm J-tipped wire successfully facilitated crossing a severely calcified bicuspid aortic valve in 87 seconds after standard methods failed.

synapsesocial.com/papers/6a025ce3edf6f48138594acdhttps://doi.org/10.5603/cj.106106
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