RT Journal Article T1 The Incidence, Impact, and Techniques of Commissural Alignment in Transcatheter Aortic Valve Implantation: A Review A1 Paredes-Vazquez, Jose G. A1 Tirado-Conte, Gabriela A1 Shabbir, Asad A1 Mon-Noboa, Matias A1 Chavez, Jorge F. A1 Nuñez-Gil, Ivan A1 Jimenez-Quevedo, Pilar A1 Pozo-Osinalde, Eduardo A1 Gomez de Diego, Jose Juan A1 Salinas, Pablo A1 Mejia-Renteria, Hernan A1 Macaya, Fernando A1 De Agustín Loeches, José Alberto A1 Gonzalo, Nieves A1 Escaned Barbosa, Javier A1 Fernández Ortiz, Antonio Ignacio A1 Nombela-Franco, Luis AB In current clinical practice, commissural alignment of the transcatheter heart valve (THV) during transcatheter aortic valve implantation (TAVI) is seldom achieved. Orientation of the THV within the aortic root and the subsequent influence upon leaflet haemodynamic function, coronary blood flow, and ease of access to the coronary ostia are gaining significant interest. Herein, we review the incidence and clinical implications of commissural misalignment in TAVI and offer thorough descriptions of how optimal alignment can be achieved with several different contemporary THV devices. PB MDPI YR 2023 FD 2023-11-28 LK https://hdl.handle.net/20.500.14352/130509 UL https://hdl.handle.net/20.500.14352/130509 LA eng NO Paredes-Vazquez JG, Tirado-Conte G, Shabbir A, Mon-Noboa M, Chavez JF, Nuñez-Gil I, et al. The Incidence, Impact, and Techniques of Commissural Alignment in Transcatheter Aortic Valve Implantation: A Review. JCM 2023;12:7369. https://doi.org/10.3390/jcm12237369 DS Docta Complutense RD 19 mar 2026