TAVI: when calcifications are the major issues

Session comprising selected EuroPCR 2024 Clinical Case submissions

Facilitators: J. Mehilli, R. Moreno, P. Fahmy

Summary

This session explores various challenging TAVI cases where severe aortic valve calcification was the main obstacle. Presenters share their experiences and strategies in overcoming these complex anatomical issues, including the use of techniques like the buddy balloon technique, snare technique, and innovative approaches to cross the aortic valve. The discussions focus on optimizing procedural success and safety in the face of heavily calcified aortic valves and challenging vascular access.

Presentations available when logged in:

  • Transfemoral TAVI in porcelain aorta and bilateral aortoiliac disease, it's possible
  • TAVI in critical aortic stenosis and valve calcification complicated with left coronary obstruction
  • I can't cross the aortic valve
  • TAVI in uncrossable aortic stenosis
  • Buddy balloon technique for difficulties to cross aortic valve
  • Difficulty in crossing the aortic arch during TAVR: thinking outside the box
  • Snare technique for a TAVI case in a difficult anatomy with calcified aortic arc
  • TAVI in calcium rock: a challenging case