Valve-in-Valve Workflow

Valve-in-Valve Planning

Identify the failed prosthesis, quantify coronary obstruction risk, and plan leaflet management — purpose-built for redo TAVR cases.

01 · Pre-procedural 0:00 — 0:13

Valve Identification

Automated detection of the implanted prosthesis — manufacturer, model, and size — recovered directly from the CT scan.

  • Database of surgical and transcatheter valve geometries
  • Frame and leaflet pattern recognition
  • Confidence score and side-by-side candidates
  • Manual override with full vendor catalog
02 · Pre-procedural 0:13 — 0:51

Auto Measurements

Internal frame dimensions, neo-skirt geometry, and coronary heights measured against the implanted prosthesis.

  • Internal frame ID and effective inflow
  • Dynamic neo-skirt plane across cardiac phases
  • Coronary ostia heights vs. neo-skirt
  • Sinus sequestration risk geometry
03 · Pre-procedural 0:51 — 1:04

Recommendation

Vendor-independent ViV valve recommendation — sized to the implanted prosthesis and the patient's coronary risk.

  • ViV-specific sizing across all transcatheter platforms
  • Coronary risk overlay per device choice
  • Predicted hemodynamic gradient
  • Transparent reasoning for every suggestion
04 · Pre-procedural 1:04 — end

ViV Simulation

Virtual deployment of the new transcatheter valve inside the failed prosthesis — depth, expansion, and leaflet interaction simulated.

  • Frame-in-frame deployment visualization
  • Predicted expansion against the prior frame
  • Leaflet pinning and orientation
  • Save and recall multiple deployment plans
05 · Risk Coronary risk

Leaflet Overhang

Dynamic leaflet overhang analysis quantifies coronary obstruction risk across the cardiac cycle — not just at one phase.

  • Leaflet sweep across systole and diastole
  • Distance from leaflet edge to coronary ostium
  • Sinus sequestration height vs. coronary height
  • Risk score for each candidate device
06 · Risk mitigation Leaflet management

BASILICA Assist

Plan and visualize BASILICA leaflet laceration trajectories to mitigate coronary obstruction in high-risk ViV anatomy.

  • Patient-specific laceration trajectory
  • Predicted post-laceration leaflet behaviour
  • Cusp targeting and entry-exit window
  • Combined with ViV simulation for full plan
Why ViV with QuanTAVI

Redo cases. Done right.

ViV is not a TAVR variant — it is its own procedure with its own risks. QuanTAVI treats it that way.

01

Prosthesis-aware

QuanTAVI starts by recognizing the implanted valve, then sizes the new device against its geometry — not against a generic annulus.

02

Coronary risk first

Dynamic leaflet overhang and sinus sequestration analysis surface the risk of obstruction before the case begins.

03

BASILICA-ready

When risk is high, plan and visualize the laceration trajectory in the same tool — no context switch.

See QuanTAVI in your ViV practice.

Walk through a real redo case end-to-end with our team — identification to BASILICA planning.

Request Demo ← TAVR Workflow