How to improve TAVI durability - LIVE case

TAV in TAV and aortic root enlargement

Operators: N. Dumonteil, D. Tchetche

Procedural Analyst: C. Cook

Summary

Explore two fascinating cases tackling severe aortic valve challenges with innovative approaches:

LIVE Case: An 84-year-old woman with a history of breast cancer and TAVI (Evolut Pro 29) in 2016, presenting with symptomatic severe TAVI stenosis. CT revealed a true ID of 19 mm. The team implanted a Sapien 3 (23 mm) after predilatation with a 22 mm balloon, employing cerebral and RCA protection. RCA patency was confirmed using angiography and IVUS.
Recorded Case: A 72-year-old woman with severe aortic stenosis, a small annulus (21 mm), and preserved LV function (60%) underwent surgical aortic root enlargement, expanding the annulus to accommodate a Medtronic Ultra valve (29 mm).

LIVE Case from Clinique Pasteur - Toulouse, France

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Key moments

Keywords: TAV in TAV, Sapien 3, aortic root enlargement, cerebral protection Sentinel, RCA protection

To discuss the available information concerning the durability of current TAVI devices
To gain a fuller understanding of the challenges associated with TAV-in-TAV intervention
To understand how to plan and perform a redo TAVI procedure step-by-step

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