25 Nov 2024
TAVI for pure aortic regurgitation - LIVE case
How to treat pure aortic regurgitation or LVOT calcifications with TAVI
Procedural Analyst:
S. Bleiziffer
Summary
Watch a LIVE case followed by a recorded case on aortic regurgitation:
- An 86-year-old male with a history of stroke and prostate cancer presenting acute heart failure due to severe pure aortic regurgitation and LV dysfunction (EF 39%). A 27 mm JenaValve Trilogy prosthesis was implanted without predilatation, using TEE under stimulation (130 bpm).
- A 90-year-old female with severe symptomatic aortic stenosis, preserved LV function, and LVOT calcifications. A 25 mm Navitor valve was implanted following predilatation with a Z-Med balloon (18 mm) under pacing (120 bpm).
LIVE Case from University Hospital of Cologne - Cologne, Germany
Recorded Case "TAVI for a patient with LVOT calcification" from Keio University – Tokyo, Japan
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Key moments
- 21:20-40:19 - Step-by-step Jena valve implantation
- 03:25-12:15 - Imaging analysis
- 56:40-01:02:00 - Procedural analysis
Keywords: Pure aortic regurgitation, JenaValve, Navitor, predilatation
Learning Objectives
- To appreciate the clinical burden of pure aortic regurgitation
- To learn more about current and future transcatheter technologies for pure aortic regurgitation
- To discuss contemporary techniques to prevent severe aortic regurgitation in complex TAVI procedures
