Dave Daniels

Ok this is silly, but have to show it. Perhaps it will help others someday. TMVR, viv, Sapien delivery system (which we all love and have faith in but like anything else is subject to anatomy) ruptured. Wouldn’t come back into sheath, backed sheath out wouldn’t come out of vein

One of the reasons mitral PVLs may be so challenging transeptal may be less the plug technology (avp 2) but more coaxiality. Here is the first attempt to solve this by creating a “compound curve” delivery system with off the shelf stuff. Case today at #BASH with me and @SpiesMd

Beautiful ViR tricuspid. Patient had iso TV 32 MCR ring 3 months ago at an outside institution. Comes in with severe MR/severe TR massively volume overloaded. 25 liters of diuresis then mitral clip with good result. Still torrential TR. case below. #BASH @SpiesMd #CardioTwitter

The #BASH team in action. @SpiesMd and Jen Dronsfield our chief tech “Mid- balloon assisted Basilica” for Tav in Tav

Another Friday afternoon at the office with me and @SpiesMd. #BASH #CardioTwitter #TAVR Balloon (BA) BASILICA for TAV in TAV (S3). Credit to @AdamGreenbaumMD and team for development. 100% predicted risk of left coronary occlusion with left sinus sequestration.