17 Feb 2024
TAVI for patients with concomitant coronary artery disease - LIVE case
TAVI first followed by PCI in stable CAD
Operators:
H. Kawashima, Y. Watanabe
Procedural Analyst:
Y. Ohno
Summary
An 88-year-old male presented a severe symptomatic aortic valve with preserved LV function (64%), a coronary artery disease with a LAD PCI a few years ago and a significant (75%) RCA stenosis with an FFR angio at 0.74. He also has a short membrane septum (2.5 mm).
The operators decided to implant first a Sapien 3 ultra Resilia 23 mm before performing PCI.
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Key moments
- 04:49-07:55 - CT analysis
- 25:50-28:10 - Single proglide pre-closing
- 38:10-40:20 - Valve implantation on semi-cros overlap view
- 50:09-51:43 - Single proglide closing
Keywords: TAVI, Pre-closing and closing, Sapien3 UR