07 Dec 2023
TAVI with a new generation of valve and difficult arterial access - LIVE case
Contemporary TAVI in 2023
Operators:
M. Al-Hijji, S. Abujalala
Procedural Analyst:
A. Esmaiel
Summary
An 84-year-old woman with type 2 diabetes, anaemia (Hgb: 9 g/dl), morbid obesity and limited mobility, and mild LV function impairment (50%), presented an acute heart failure on severe aortic valve stenosis.
The operators decided to implant an Evolut FX by femoral access with secondary access in the same artery due to the sinuosity of the other access. No pre and post dilatation.
LIVE case from Hamad Medical Corporation Heart Hospital, Doha - Qatar
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Key moments
- 04:47-10:34 - CT analysis
- 21:53-23:22 - Procedural strategy
- 38:43-54:48 - Positioning and deployment of the Evolut FX
- 01:10:05-01:13:52 - Femoral access closure
Keywords: TAVI, aortic valve stenosis, Evolut FX, femoral access closure
Learning Objectives
- To discuss contemporary TAVI techniques
- To learn how to select the appropriate device
- To experience implantation technique with a new iteration self expanding device
