20 Nov 2023
Challenges in TAVIs, are there guideline recommendations?
Summary
The EAPCI consensus session emphasized the critical role of evaluating and managing coronary artery disease in TAVI candidates, especially in younger and lower-risk patients. Transcatheter heart valve choice influences future coronary access, emphasizing the need for optimized implantation techniques. In cardiogenic shock due to valvular heart disease, rapid escalation to non-pharmacological treatments, including valve correction, may be crucial. Decision-making for interventions should consider procedural utility and futility, guided by Heart Teams based on patient status, anatomy, and institutional expertise.
Learning Objectives
- To learn how to manage patients with combined coronary artery disease and aortic stenosis undergoing TAVI
- To share experience on TAVI in cardiogenic shock
- To be updated on the latest EAPCI clinical consensus statements on challenging TAVIs