{"id":9882,"date":"2025-03-07T06:25:12","date_gmt":"2025-03-07T06:25:12","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?p=9882"},"modified":"2025-04-09T09:57:52","modified_gmt":"2025-04-09T09:57:52","slug":"extraordinary-tavr-in-a-heavily-calcified-bicuspid-av-with-horizontal-root-and-severely-tortuous-aorta-using-novel-python-bz-introducer","status":"publish","type":"post","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-march-2025\/extraordinary-tavr-in-a-heavily-calcified-bicuspid-av-with-horizontal-root-and-severely-tortuous-aorta-using-novel-python-bz-introducer\/","title":{"rendered":"EXTRAORDINARY TAVR IN A HEAVILY CALCIFIED BICUSPID AV WITH HORIZONTAL ROOT AND SEVERELY TORTUOUS AORTA USING NOVEL PYTHON BZ INTRODUCER"},"content":{"rendered":"<p class=\"caps\">[vc_row][vc_column][vc_column_text]<\/p>\n<h2><strong>CASE:<\/strong><\/h2>\n<p style=\"text-align: left;\">83-year-old male<\/p>\n<p style=\"text-align: left;\">Admitted with Acute Heart Failure Syndrome<\/p>\n<p style=\"text-align: left;\">Past history of DM \/ HTN \/ TIA and COPD<\/p>\n<p style=\"text-align: left;\">No previous significant past surgical history<\/p>\n<p style=\"text-align: left;\">Echo: Severe Aortic stenosis with severe LV dysfunction (EF 20%) and moderate PAH<\/p>\n<p style=\"text-align: left;\">Coronaries: Moderate CAD<\/p>\n<p style=\"text-align: left;\">CT TAVR protocol was done<\/p>\n<p style=\"text-align: left;\">CT TAVR: Heavily calcified Bicuspid AV (FIGURE 1) with severely tortuous aorta \u00a0(FIGURE-2)<\/p>\n<h2><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9885 size-full\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-1.jpg\" alt=\"\" width=\"345\" height=\"383\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-1.jpg 345w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-1-270x300.jpg 270w\" sizes=\"auto, (max-width: 345px) 100vw, 345px\" \/><\/strong><\/h2>\n<p>FIGURE: 1\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 FIGURE: 2<\/p>\n<h2><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9886 size-full\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-2.jpg\" alt=\"\" width=\"537\" height=\"697\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-2.jpg 537w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-2-231x300.jpg 231w\" sizes=\"auto, (max-width: 537px) 100vw, 537px\" \/><\/strong><\/h2>\n<p>To navigate through this tortuosity we used a novel Python <em><i>BZ<\/i><\/em>\u00a0smart Introducer Sheath<\/p>\n<ul>\n<li>Python <em><i>BZ<\/i><\/em>smart Introducer Sheath has been co-developed with Prof. Bharat Dalvi, India and Prof. Ziyad Hijazi, USA. (<em><i>B<\/i><\/em>\u00a0for Bharat &amp; <em><i>Z<\/i><\/em>\u00a0for Ziyad).<\/li>\n<li>Python BZ is modeled on extra large \u230024 Fr &amp; extra long 76.5cm .<\/li>\n<li>The patented short tip dilator in Python <em><i>BZ<\/i><\/em>has 3 guide wire exit ports to simultaneously accommodate multiple 0.035&#8243; guide wires which may be parked across right and left pulmonary arteries for improved support during tracking of the long introducer sheath.<\/li>\n<li>The 24 Fr dilator and distal introducer segments have higher flexibility &amp; allow for smooth navigation across the tortuous anatomy<\/li>\n<li>An undeployed Myval THV may be fully retrieved from the Python BZ \u00a0smart in case of inability to cross the native valve.<\/li>\n<\/ul>\n<h2><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9887 size-full\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-3.jpg\" alt=\"\" width=\"768\" height=\"623\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-3.jpg 768w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-3-300x243.jpg 300w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/strong><\/h2>\n<p>PYTHON BZ XL SHEATH DELIVERY<\/p>\n<h2><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9888 size-full\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-4.jpg\" alt=\"\" width=\"407\" height=\"412\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-4.jpg 407w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-4-296x300.jpg 296w\" sizes=\"auto, (max-width: 407px) 100vw, 407px\" \/><\/strong><\/h2>\n<p>VALVE DELIVERY THROUGH THE SHEATH AND DEPLOYED<\/p>\n<h2><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9889 size-full\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-5.jpg\" alt=\"\" width=\"490\" height=\"367\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-5.jpg 490w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-5-300x225.jpg 300w\" sizes=\"auto, (max-width: 490px) 100vw, 490px\" \/><\/strong><\/h2>\n<p>FINAL OCTAPRO POSITION WITH MINIMAL FORESHORTENING<\/p>\n<h2><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9890 size-full\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-6.jpg\" alt=\"\" width=\"541\" height=\"406\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-6.jpg 541w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/03\/article-5-img-6-300x225.jpg 300w\" sizes=\"auto, (max-width: 541px) 100vw, 541px\" \/><\/strong><\/h2>\n<h2><strong>TAKE HOME MESSAGE<\/strong><\/h2>\n<ul>\n<li>Myval Octapro with the unique design characteristics and minimal foreshortening gives a predictable TAVR deployment in a complex anatomy<\/li>\n<li>Recent RCT\u2019s support the use of Myval platform in majority of our aortic stenotic cases, as it is proven non-inferior and, in some aspects, superior hemodynamics with less Patient Prosthesis Mismatch<\/li>\n<li>The unique feature of the Python BZ sheath with triple lumen access provides an additional safer femoral option in complex tortuous aortic anatomies as shown in this case before changing to alternate access<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7207 size-thumbnail\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/Dr-Kamal-Kant-Jena-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/>Dr. Kamal Kant Jena<\/strong><br \/>\nAssociate Consultant- Interventional Cardiology<br \/>\nKauvery Hospital, Chennai<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-4652\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/05\/Dr-Anantharaman-256x300.jpg\" alt=\"\" width=\"145\" height=\"170\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/05\/Dr-Anantharaman-256x300.jpg 256w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2022\/05\/Dr-Anantharaman.jpg 600w\" sizes=\"auto, (max-width: 145px) 100vw, 145px\" \/>Dr Rajaram Anantharaman<\/strong><br \/>\nDirector for Transcatheter Heart Valve Therapies<br \/>\nLead for Advanced Heart Failure, Cardiomyopathy, Circulatory Support and Transplantation (ACCiST Centre)<br \/>\nKauvery Hospital, Chennai[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] CASE: 83-year-old male Admitted with Acute Heart Failure Syndrome Past history of DM \/ HTN \/ TIA and COPD No previous significant past surgical history Echo: Severe Aortic stenosis<\/p>\n","protected":false},"author":2,"featured_media":9883,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[],"class_list":["post-9882","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ima-journal-march-2025"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>EXTRAORDINARY TAVR IN A HEAVILY CALCIFIED BICUSPID AV WITH HORIZONTAL ROOT AND SEVERELY TORTUOUS AORTA USING NOVEL PYTHON BZ INTRODUCER<\/title>\n<meta name=\"description\" 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