TY - BOOK AU - Chitturi, Kalyan AU - Haberman, Dan AU - Waksman, Ron TI - Leaflet modification with the ShortCut TM device to prevent coronary artery obstruction during TAVR. [Review] SN - 1878-0938 PY - 2024/// KW - Automated KW - IN PROCESS -- NOT YET INDEXED KW - MedStar Heart & Vascular Institute KW - MedStar Washington Hospital Center KW - Advanced Cardiac Catheterization Research Fellowship KW - Interventional Cardiology Fellowship KW - Journal Article KW - Review N1 - Available in print through MWHC library: 2002 - present N2 - Transcatheter heart valve (THV) procedures require careful planning and consideration to prevent coronary artery obstruction (CAO), which poses a significant and potentially life-threatening condition, especially in patients undergoing valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR). Despite identifying predictors of CAO and utilization of computed tomography and inputting THV features, a significant uncertainty remains in predicting CAO. The ShortCut TM device (Pi-Cardia, Rehovot, Israel) was purposefully designed to modify the leaflets in patients undergoing TAVR, especially prior to ViV procedures, to overcome the risk for CAO. This review aims to detail the device's objectives, structure, procedural steps, the available clinical data, and future directions for its intended utilization in the structural arena for the prevention of CAO. Copyright © 2024. Published by Elsevier Inc UR - https://dx.doi.org/10.1016/j.carrev.2024.03.010 ER -