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In this USC Discussion, Special Focus Editor Dr Kendra Grubb (Emory Structural Heart and Valve Center, US) is joined by Dr Isida Byku (Emory School of Medicine, Druid Hills, GA, US) to discuss her recent review article, "Valve-in-valve Transcatheter Aortic Valve Replacement for Failed Surgical Valves and Adjunctive Therapies".

Discussion Points:
00:22 How many patients are affected by failed TAVR valves
01:58 Approaches to patients with failed bioprosthetic surgical valves
04:51 Things to watch out for
07:17 The BASILICA leaflet modification strategy, and which patients should have leaflet modification
12:43 Challenges in BASILICA, and areas of improvement
16:02 Recommendations for teams interested in BASILICA

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