{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T15:47:50Z","timestamp":1788364070280,"version":"build-2803163510"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>One of the major issues encountered in patients undergoing evaluation for Transcatheter mitral valve replacement (TMVR) is the risk of Left ventricular outflow tract (LVOT) obstruction. LVOT obstruction is a catastrophic complication of TMVR, the result of displacement of the anterior mitral valve leaflet (AML) toward the interventricular septum. Several strategies to mitigate the risk of LVOT obstruction have been described and include percutaneous laceration of the anterior mitral leaflet (LAMPOON), alcohol septal ablation, trans\u2010atrial leaflet modification (SITRAL) and Balloon Assisted Translocation of Mitral Anterior leaflet to prevent LVOT obstruction (BATMAN). These techniques have certain limitations: procedure complexity for LAMPOON, inconsistent results for alcohol septal ablation, and the need for surgery in SITRAL. While the initial description of BATMAN was through a trans\u2010apical approach, the evolution of a trans\u2010septal approach has improved the utility of this technique. These procedures usually require several steps with multiple wire exchanges, snares, and high energy electrocautery. The complexity of these procedures has hindered their widespread adoption. Herein, we describe a simplified technique called the Single Wire Approach for Traversing Tissue (SWATT) utilized to facilitate a trans\u2010septal BATMAN procedure to traverse the valve leaflets and tissue with minimal exchanges, using the commercially available VERSACROSS transeptal system (Boston Scientific, Natick, MA).<\/jats:p>","DOI":"10.1002\/ccd.31401","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T02:44:04Z","timestamp":1736995444000},"page":"972-979","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Transseptal BATMAN Procedure Utilizing a Simplified Technique: \u201cSingle Wire Approach for Traversing Tissue\u201d (SWATT)"],"prefix":"10.1002","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3192-3878","authenticated-orcid":false,"given":"Puvi","family":"Seshiah","sequence":"first","affiliation":[{"name":"The Christ Hospital Heart and Vascular Institute Cincinnati Ohio USA"},{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raviteja R.","family":"Guddeti","sequence":"additional","affiliation":[{"name":"The Christ Hospital Heart and Vascular Institute Cincinnati Ohio USA"},{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaid","family":"Alirhayim","sequence":"additional","affiliation":[{"name":"The Christ Hospital Heart and Vascular Institute Cincinnati Ohio USA"},{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Choo","sequence":"additional","affiliation":[{"name":"The Christ Hospital Heart and Vascular Institute Cincinnati Ohio USA"},{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Martin","sequence":"additional","affiliation":[{"name":"Trihealth Heart Institute Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Bae","sequence":"additional","affiliation":[{"name":"The Christ Hospital Heart and Vascular Institute Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek","family":"Helmy","sequence":"additional","affiliation":[{"name":"Division of Cardiology. LSU Shreveport Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3715-8082","authenticated-orcid":false,"given":"Santiago","family":"Garcia","sequence":"additional","affiliation":[{"name":"The Christ Hospital Heart and Vascular Institute Cincinnati Ohio USA"},{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2018.10.042"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.01.035"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28496"},{"key":"e_1_2_10_5_1","doi-asserted-by":"crossref","unstructured":"M.Guerrero S Velumapalli Q.Xiang et al. \u201cThirty day Outcomes of Transcatheter Mitral Valve Replacement for Degenerated Mitral Bioprosthesis (Valve\u2010in\u2010Valve) Failed Surgical Rings (Valve\u2010in\u2010Ring) and Native Valve with SevereMitral Annular Calcification (Valve\u2010in Mitral Annular Calcification) in the United States: Data From the Society of Thoracic Surgeons\/American College of Cardiology\/Transcatheter Valve Therapy Registry\u201d13 no.3(March2020):e008425.","DOI":"10.1161\/CIRCINTERVENTIONS.119.008425"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28791"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30872"},{"issue":"4","key":"e_1_2_10_8_1","article-title":"Transseptal BATMAN for High\u2010Risk Valve\u2010in\u2010Ring Procedures A Case Series","volume":"29","author":"Denti P.","year":"2024","journal-title":"Case Reports"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2023.10.040"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30885"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2020.09.027"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31401","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T05:18:58Z","timestamp":1752729538000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,15]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/ccd.31401"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31401","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,15]]},"assertion":[{"value":"2024-11-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}