A super alternative: BATMAN helps cardiologists limit complications during TMVR

BATMAN LVOT

Valve-in-ring BATMAN: (A) Perforation of the anterior mitral leaflet. (B) Buddy wire advanced in the left ventricle through the 7-F sheath. (C) Balloon ablation of the anterior mitral leaflet. (D) Successful delivery of the balloon-expandable bioprosthesis. (E and F) High risk of left ventricular outflow tract obstruction resulting from a 90° mitral-aortic angle with a prominent septal bulge. (G and H) Images and caption courtesy of Denti et al., JACC: Case Reports and the American College of Cardiology. More details available here.

The BATMAN technique is a safe, effective way to prevent LVOT obstruction during high-risk transcatheter mitral valve replacement, according to new data presented at SCAI 2025.