New technology for transcather valve replacement - LIVE case

New transcatheter valve for treatment of mitral, tricuspid and aortic valves

Procedural Analyst: J. Khan
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Summary

Watch a series of recorded cases showcasing advanced valve therapies and innovative techniques:

  • A 70-year-old man with Marfan syndrome (treated by Bentall and CABG in 2012), impaired LV function (35%), CRT-D, and symptomatic severe primary MR (A2 prolapse with calcification) underwent implantation of an Intrepid valve under general anesthesia and TEE guidance.
  • A 75-year-old man with permanent AF, CABG, SAVR (2019), CKD grade III, and symptomatic massive functional TR with preserved LV function was treated with a Lux Valve Plus. The operators utilized transaxillary access, echoguidance, general anesthesia, and TEE guidance.
  • A 64-year-old man with severe aortic stenosis underwent the implantation of a first-in-man Abbott balloon-expandable valve (29 mm).

Recorded Case "Transcatheter replacement for mitral regurgitation" from McGill University Health Centre – Montréal, Canada
Recorded Case "Transcatheter tricuspid valve replacement" from Hospital Álvaro Cunqueiro - Vigo, Spain

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Chapters on Vimeo

Key moments

  • 7:45-21:56 - Intrepid valve deployment        
  • 22:50-25:30 - Procedural analysis
  • 35:27-43:26 - Lux valve deployment                    
  • 43:39-45:29 - Procedural analysis
  • 52:42-55:23 - Valve description                        
  • 55:26-56-55 - Valve deployment

Keywords: Primary MR, Functional TR, Aortic stenosis, Intrepid valve, Lux valve, Abbott balloon expandable valve

Learning Objectives

  • To appreciate the limitations of currently available transcatheter valve procedures, particularly in challenging anatomical situations
  • To get a glimpse of emerging innovations in this field
  • To understand the imaging modalities that are available to guide transcatheter mitral and tricuspid replacement procedures