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Sheathless Apical-Femoral Rail Technique for Transcatheter Aortic Valve Replacement - Case Report of a Difficult to Cross Stenosis

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A severely stenosed and calcified prosthetic aortic valve may be difficult to cross, on occasion even with only a wire. In the majority of cases eventually the valve will be crossed, but at a cost of prolonged fluoroscopy time, resulting in excessive exposure ... ...