16 May 2023
TAVI in patients with long-life expectancy - LIVE case
Expandable balloon with cerebral protection and TAVI surgical explantation
Summary
Watch the case of a 75-year-old male patient with history of TIA, symptomatic severe aortic stenosis with RBBB, and preserved LV function. The heart team's decision was to perform TAVI with PCI on LAD a few days before procedure.
First, a cerebral protection device (Sentinel) was implanted. Then, a Sapien 3 26 mm + 2CC were implanted without predilatation, and pacing was performed on safari wire, as well as placement of a temporary pacemaker lead (presence of an RBBB). All steps are clearly described in this video!
During the session, there is also an excellent example of TAVI surgical explantation.
LIVE Case from Clinique Pasteur, Toulouse - France
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Key moments
- 17:30 - 20:41 - CT analysis
- 33:42 - 37:33 - Sentinel implantation
- 54:59 - 01:00:30 - Tips and tricks for coronary intubation
- 01:21:49 - 01:30:48 - Evolut valve surgical explantation
Key words: Sapien 3, Sentinel device, Coronay access, Surgical explantation of TAVI
Learning Objectives
- To appreciate the clinical evidence governing the application of TAVI in the lifetime journey of younger patients with aortic stenosis
- To understand the importance of clinical and anatomical factors in determining the choice between TAVI and surgical aortic valve replacement
- To learn how valve design and implantation technique can influence long term outcomes after the index TAVI procedure
