{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T06:14:13Z","timestamp":1788329653488,"version":"build-2803163510"},"reference-count":7,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The BATMAN (Balloon\u2010Assisted Translocation of the Mitral Anterior leaflet) technique, a novel approach for modifying the anterior leaflet during transcatheter mitral valve replacement (TMVR), has recently demonstrated efficacy in preventing left ventricular outflow tract obstruction (LVOT) which constitutes a high\u2010risk complication in valve\u2010in\u2010valve TMVR procedures. We describe three complex cases of severe bioprosthetic mitral stenosis who underwent successful valve\u2010in\u2010valve TMVR utilizing a modified transseptal BATMAN technique. We highlight the procedural methodology and explore the potential for this technique to be standard of care for valve\u2010in\u2010valve TMVR.<\/jats:p>","DOI":"10.1002\/ccd.70824","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:34:55Z","timestamp":1788327295000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified Transseptal BATMAN for Anterior Leaflet Modification in High\u2010Risk Transcatheter Mitral Valve\u2010in\u2010Valve Replacements: A Case Series"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2932-6525","authenticated-orcid":false,"given":"Hafez","family":"Golzarian","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Disease University of Houston College of Medicine\/HCA Houston Healthcare (Kingwood) Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajendra P.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Disease University of Houston College of Medicine\/HCA Houston Healthcare (Kingwood) Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukhtar","family":"Al\u2010Saadi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Disease University of Houston College of Medicine\/HCA Houston Healthcare (Kingwood) Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5411-4762","authenticated-orcid":false,"given":"Aswin","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Disease University of Houston College of Medicine\/HCA Houston Healthcare (Kingwood) Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa P.","family":"Howe","sequence":"additional","affiliation":[{"name":"Structural Heart &amp; Valve Center, Houston Heart HCA Houston Healthcare Medical Center Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boglarka","family":"Turos","sequence":"additional","affiliation":[{"name":"Structural Heart &amp; Valve Center, Houston Heart HCA Houston Healthcare Medical Center Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranav","family":"Loyalka","sequence":"additional","affiliation":[{"name":"Structural Heart &amp; Valve Center, Houston Heart HCA Houston Healthcare Medical Center Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1148\/radiol.2018172758","article-title":"Mitral Valve Imaging With CT: Relationship With Transcatheter Mitral Valve Interventions","volume":"288","author":"Weir\u2010McCall J. R.","year":"2018","journal-title":"Radiology"},{"key":"e_1_2_12_3_1","first-page":"1268","article-title":"Alcohol Septal Ablation to Prevent Left Ventricular Outflow Tract Obstruction During Transcatheter Mitral Valve Replacement","volume":"12","author":"Wang D. D.","year":"2019","journal-title":"JACC: Cardiovascular Interventions"},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"172","DOI":"10.21037\/acs-2020-mv-25","article-title":"LAMPOON Techniques to Prevent or Manage Left Ventricular Outflow Tract Obstruction in Transcatheter Mitral Valve Replacement","volume":"10","author":"Case B. C.","year":"2021","journal-title":"Annals of Cardiothoracic Surgery"},{"key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"746","DOI":"10.4244\/EIJ-D-18-00201","article-title":"International LAMPOON: First European Experience With Laceration of the Anterior Mitral Valve Leaflet Prior to Transseptal Transcatheter Mitral Valve Implantation","volume":"14","author":"Kasel A. M.","year":"2018","journal-title":"EuroIntervention"},{"issue":"4","key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1002\/ccd.28791","article-title":"BATMAN\u2010Savior or Vigilante?","volume":"95","author":"Khan J. M.","year":"2020","journal-title":"Catheterization and Cardiovascular Interventions"},{"issue":"6","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1002\/ccd.30872","article-title":"A Novel Method of Prosthetic Leaflet Modification to Enable Transcatheter Mitral Valve\u2010in\u2010Valve Replacement","volume":"102","author":"Spilias N.","year":"2023","journal-title":"Catheterization and Cardiovascular Interventions"},{"key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1002\/ccd.31401","article-title":"Transseptal BATMAN Procedure Utilizing a Simplified Technique: \u2018Single Wire Approach for Traversing Tissue\u2019 (SWATT)","volume":"105","author":"Seshiah P.","year":"2025","journal-title":"Catheterization and Cardiovascular Interventions"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70824","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70824","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70824","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:34:57Z","timestamp":1788327297000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":7,"alternative-id":["10.1002\/ccd.70824"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70824","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]},"assertion":[{"value":"2026-03-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ccd.70824"}}