Challenges in TAVIs, are there guideline recommendations?

Anchorperson: E. Barbato
Spokesperson: A. Chieffo
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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

Presentations available when logged in:

  • Session objectives
  • A challenging case with coronary artery disease and aortic stenosis
  • EAPCI consensus document on coronary artery disease and TAVI
  • A challenging case of TAVI in cardiogenic shock
  • EAPCI consensus document on TAVI in cardiogenic shock
  • Summary and key points