{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:50:04Z","timestamp":1791395404368,"version":"4.3.3"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Coronary access after transcatheter aortic valve implantation (TAVI) is an increasingly relevant issue, particularly in patients who may require future coronary interventions or redo\u2010TAVI procedures. Although commissural alignment is routinely achieved in surgical valve replacement, it remains challenging during TAVI because of anatomical variability and reliance on two\u2010dimensional fluoroscopic guidance. Moreover, optimal commissural alignment does not necessarily ensure adequate coronary alignment, as the spatial relationship between native commissures and coronary ostia varies substantially among individuals. This work describes a patient\u2010specific, CT\u2010 and fluoroscopy\u2010guided strategy to optimize coronary alignment during TAVI using the Evolut FX+ platform. The proposed approach integrates systematic pre\u2010procedural CT analysis of coronary ostial position, intercoronary angle, and valve geometry with the identification of a customized fluoroscopic implantation view, termed the Coronary Customized Projection. This projection is applied during valve deployment to guide valve orientation and enable mono\u2010coronary or bi\u2010coronary alignment according to individual anatomy. The strategy enhances procedural control and aims to preserve coronary access without increasing procedural complexity. Prospective studies are warranted to evaluate its impact on coronary reaccess and long\u2010term clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70446","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T11:34:45Z","timestamp":1767094485000},"page":"1112-1119","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010Specific Strategy for Coronary Alignment in TAVI With Evolut FX+"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1603-4238","authenticated-orcid":false,"given":"Michele","family":"Galasso","sequence":"first","affiliation":[{"name":"School of Medicine and Surgery Milano\u2010Bicocca University Milan Italy"},{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greta","family":"Cattaneo","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"},{"name":"University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Casamassima","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Sciences Catholic University of the Sacred Heart Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Bellamoli","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Bettari","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Buono","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Zito","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"},{"name":"Department of Cardiovascular and Thoracic Sciences Catholic University of the Sacred Heart Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Troise","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3446-7832","authenticated-orcid":false,"given":"Emmanuel","family":"Villa","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Messina","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Arneri","sequence":"additional","affiliation":[{"name":"Medtronic Italia S.p.A. Milano Italia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Maggi","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Maffeo","sequence":"additional","affiliation":[{"name":"Valve Center, Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.06.001"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2018.05.043"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.07.006"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2023.12.015"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.121.011045"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.04.006"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2020.02.006"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.02.005"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.10.005"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-024-03142-7"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70446","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70446","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70446","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:52:54Z","timestamp":1791391974000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,30]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/ccd.70446"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70446","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,30]]},"assertion":[{"value":"2025-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}