ArticleJACC. Case reports2026
Hemodynamic Improvement With the Double-Tap Technique During Transcatheter Aortic Valve Replacement Using a Pressure-Sensing Guidewire.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Beyond Valve Deployment: Real-Time Hemodynamic Optimization During the Double-Tap Technique in TAVR.JACC. Case reports · 2026Article
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Authors and funding
10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Postdilatation using the original delivery system balloon at the same filling volume (the double-tap technique) has been proposed to improve balloon-expandable transcatheter heart valve (THV) expansion during transcatheter aortic valve replacement (TAVR); however, its immediate hemodynamic impact remains unclear. Here, we report a case series of 6 consecutive patients who underwent TAVR with balloon-expandable valves in whom the double-tap technique was performed with hemodynamic assessment using a pressure-sensing guidewire. The mean transvalvular pressure gradients and midportion THV diameters were evaluated before and after the double-tap technique. This technique was significantly associated with reduced mean transvalvular pressure gradients (median difference: -6.5 mm Hg; P = 0.036) and increased midportion THV diameter (median difference: 0.8 mm; P = 0.036), whereas paravalvular leak was reduced to trivial or none in all patients, and no cardiovascular death, stroke, or permanent pacemaker implantation occurred at 30 days. The double-tap technique under pressure-sensing guidewire guidance may facilitate safer valve optimization during TAVR.
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