21 Sep 2023
Valve-in-valve - LIVE case
Valve-in-valve with post-dilatation and cerebral protection system
Operators:
S. Mukhopadhyay, M. Ozkor
Procedural Analyst:
P. Chiam
Summary
An 84-year-old man, with a history of 23 Carpentier-Edwards in 2004, PPM in 2013, AF on warfarin and impaired LV function (40 %), presented with severe symptomatic stenosis of the surgical bioprosthesis.
A 23 Navitor was implanted without predilatation and with post-dilatation under cerebral protection (Sentinel).
Closure was achieved with 1 Proglide and an Angioseal 8 Fr under echo.
LIVE Case from Barts Heart Center - London, United Kingdom
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Key moments
- 19:23-23:41 - Femoral puncture under echo
- 27:47-31:17 - Sentinel deployment
- 33:51-43:07 - Valve wiring
- 46:33-55:53 - Navitor deployment
- 01:08:08-01:10:52 - Puncture closure
Keywords: valve-in-valve, Sentinel, Navitor, femoral puncture under echo
Learning Objectives
- To discuss lifetime management of aortic stenosis
- To learn about imaging parameters for valve-in-valve assessment
- To discuss implantation techniques for a valve-in-valve procedure
