Addressing the challenges of small annuli patients with the Evolut Platform

Sponsored by Medtronic

Anchorperson: D. Tchetche

Discussants: K. Hayashida, M. K. Hong, Y. Watanabe

Summary

Recognizing that Asian patients, especially women with aortic stenosis, are smaller and have smaller annuli than European ones, for instance, this session discusses the challenges of treating these patients, among them prosthesis patient mismatch, annulus rupture, coronary occlusion, or vascular complication. In addition, the speakers will draw on the results of various studies on the subject, including the TAVI-SMALL registry, the OCEAN-TAVI registry, and the SMART Trial.

Learning Objectives

To look at the prevalence of small annuli patients and current challenges in treatment
To analyze outcomes in the small annuli patient population, with particular focus in women
To ask about the future of clinical evidence looking at small annuli patients and treatment implications