20 Nov 2023
TAVI: From simple to complex - LIVE case
TAVI in aortic valve: From stenosis to regurgitation
Operators:
T. Patterson, S. Redwood
Procedural Analyst:
C. Cook
Summary
This session explores two clinical cases, providing valuable insights into the essential components of a straightforward and efficient TAVI procedure. Find out more about the application of innovative devices to broaden the scope of aortic valve intervention, facilitating their integration into Heart Team discussions and daily clinical routines.
- LIVE case: An 82-year-old male with symptomatic severe aortic stenosis treated by TAVI with a Sapien 29 mm without predilatation and single arterial access on conscious sedation.
- Recorded case: A 65-year-old male with permanent AF, with severe aortic regurgitation, with a highly depressed LV function (on LV assist device), treated on general anaesthesia with a Trilogy valve.
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Key moments
- 17:41-19:22 - Proglide preclosure
- 33:03-37:33 - Positioning and deployment of the valve without secondary access
- 40:01-43:57 - Proglide closure
- 01:02:16-01:04:07 - Trilogy valve presentation
- 01:08:26-01:13:31 - Positioning and deployment of the valve
- 01:22:30-01:25:56 - Procedural analysis
Keywords: Aortic stenosis, aortic regurgitation, TAVI, Sapien, Trilogy
Learning Objectives
- To understand the key elements of a simple streamlined TAVI procedure and patient pathway
- To appreciate how new devices are being used to expand current indications for aortic valve intervention
- To incorporate these advances into your Heart Team discussions and everyday clinical practice
