TAVI in complex situation - LIVE case

Discover a LIVE case followed by a recorded case exploring complex transcatheter aortic valve interventions:

- An 85-year-old woman with a history of RCA PCI, COPD, CKD stage 3, and LBBB on ECG presented with severe symptomatic aortic stenosis and preserved LV function (67%). With an aortic annulus of 335 mm², the operators implanted a Sapien 3 Ultra Resilia 23 mm without predilatation, using a single-site access (2 arterial, 1 venous).

- A 65-year-old man with severely reduced LV function on LV assist device and massive aortic regurgitation underwent implantation of a JenaValve Trinity via the femoral approach.

LIVE Educational Case from Cleveland Clinic - Abu Dhabi, United Arab Emirates

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Key moments

• 18:00-24:30 - Femoral access arterial (2 sheats: pincipal and secondary access) and a venous access for the temporary pacemaker
• 34:15-38:45 - Deployment of the valve
• 39:04-44:49 - Procedural analysis
• 46:40-52:43 - Femoral closure
• 1:16:07-1:23:41 - Femoral access and femoral closure / step-by-step JenaValve implantation

Keywords: TAVI, femoral access, femoral closure, Sapien3 ultra resilia, JenaValve, Aortic regurgitation