Valvular & structural heart disease

Procedural and one-year outcomes of the BASILICA technique in Europe: the multicentre EURO-BASILICA registry

EuroInterventionPublished Multicentre registry study

Authors' conclusion

The technique appeared feasible and effective in preventing TAVI-induced CAO, and one-year clinical outcomes were favourable.

Study context

Population
Patients at high risk for coronary artery obstruction (CAO) undergoing transcatheter aortic valve implantation (TAVI), Europe85 target leaflets
Participants
76 patients
Outcome
VARC-3 technical and procedural success and adverse events
Follow-up
Up to one year
Methodological details10 European centres, Valves treated: native 5.3%, surgical bioprosthetic 92.1%, transcatheter 2.6%; double BASILICA in 11.8%
  • 10 European centres
  • Valves treated: native 5.3%, surgical bioprosthetic 92.1%, transcatheter 2.6%; double BASILICA in 11.8%

Main finding

As reported in the abstract

GroupTechnical successFreedom from target leaflet-related CAOComplete CAOProcedural successFreedom from VARC-3 early safety endpoints
BASILICA97.7%90.6%2.4%88.2%79.0%

BASILICA

Technical success97.7%
Freedom from target leaflet-related CAO90.6%
Complete CAO2.4%
Procedural success88.2%
Freedom from VARC-3 early safety endpoints79.0%

Observational data: associations, not effects.

Further findings

One-year outcomes

One-year survival
84.2%
NYHA class I/II
90.5%

Original publication

Procedural and one-year outcomes of the BASILICA technique in Europe: the multicentre EURO-BASILICA registry. EuroIntervention. Published 7 August 2023. doi:10.4244/eij-d-22-00960

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