EuroPCR 2025

22 May 2025

TAVI

The impact of paravalvular leak, permanent pacemaker implantation and the planning for reinterventions on lifetime management in TAVI patients

Sponsored by Edwards Lifesciences

Anchorperson: S. Dawkins

Spokesperson: M. Leon

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Summary

How do paravalvular leak, pacemaker implantation and reintervention planning shape lifetime outcomes in TAVI patients?

This session examines these crucial aspects through the case of a 77-year-old male with bicuspid aortic valve stenosis, HFpEF and multiple comorbidities, including diabetes, obesity and sleep apnoea.

Follow the discussion to understand the impact of residual leak and permanent pacemaker implantation on valve durability and survival, and learn why anticipating THV-in-THV strategies during the first procedure is key to optimising patient care in the long term.

Learning Objectives

To understand the links between paravalvular leak, durability, and survival after TAVI
To understand why the planning for THV in THV is crucial for every TAVI patient at the time of the first TAVI implantation
To explore the impact of permanent pacemaker implantation on patient outcomes and lifetime management

Sam Dawkins

Speaker

Welcome and session objectives

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Speaker

The relationship between paravalvular leak after TAVI, valve durability and hard outcomes

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Dr. Martin B. Leon

Speaker

Patient presentation

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