Achieving the optimal outcome using the latest self-expandable TAVI - LIVE case

Deployment of a self-expandable valve with 3 markers under cusp overlap view

Procedural Analyst: T. Sakamoto
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Summary

An 86-year-old woman presented severe symptomatic aortic stenosis and coronary artery disease with a preserved LV function. The operators performed a PCI of the RCA ostium one month ago. The CT showed a small femoral access (diameter: 5.3 to 4.9 mm). 
After a predilatation with a 20 mm Inoue balloon without stimulation, the team implanted an Evolut FX 29mm under stimulation under a cusp overlap view.

LIVE Case from Teikyo University Hospital - Tokyo, Japan

 
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Key moments

  • 30:36-33:00 - 1 proglide preclosing
  • 39:27-40:00 - Predilatation with the Inoue balloon
  • 43:29-53:23 - Deployment of the valve

Keywords: TAVI, Evolut FX, predilatation, preclosing

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