03 Mar 2023
TAVI for bicuspid aortic valve - LIVE case
Calcified bicuspid aortic valve: simplified step-by-step TAVI
Operators:
A. Latib, P. Van Wyk
Procedural Analyst:
J. Byrne
Summary
Watch how this 80-year-old man with severe, symptomatic, heavily calcified bicuspid aortic stenosis, who initially presented with NSTEMI, was treated, and learn about a simplified step-by-step TAVI procedure.
Balloon valvuloplasty was performed, followed by LAD PCI with a rotablator and stent, prior to the TAVI procedure, which was to implant a Sapien 3 23 mm without predilation.
LIVE case from Sunninghill hospital, Johannesburg - South Africa
Navigate the video by moving your mouse over the chapter icon in the toolbar
Key moments
- 04:38-09:21 - CT analysis
- 23:48-31:18 - Femoral access with echo guidance
- 37:42-43:43 - Insertion and deployment of the valve
- 57:33-01:03:07 - Closure with 1 ProGlideTM and 1 AngioSealTM on 2 wires
Keywords: TAVI, bicuspid aortic valve, Sapien 3, femoral access, femoral closure
Learning Objectives
- To learn how to select the ideal candidate for the procedure
- To learn how to critically appraise the pre-op imaging when planning the procedure
- To learn what the potential (avoidable) complications are
