22 May 2025
Navigating complexity: TAVI in challenging anatomies
With the collaboration of the Bulgarian Society of Interventional Cardiology and Turkish Working Group of Interventional Cardiology
Anchorpersons:
T. Kilic, D. Vassilev
Summary
Navigate the complexities of TAVI in challenging anatomies. This session reviews anatomical variations such as horizontal aorta, iliofemoral tortuosity, low coronary ostia, bicuspid valves, and annular eccentricity, alongside preprocedural imaging and risk stratification. It further evaluates device selection and procedural adaptations essential for successful TAVI in complex cases through illustrative case studies.
Learning Objectives
- To review the anatomical variations that complicate standard transfemoral TAVI procedures, including horizontal aorta, severe iliofemoral tortuosity, low coronary ostia, bicuspid valves, and annular eccentricity
- To discuss preprocedural imaging strategies and risk stratification tools essential for identifying and planning TAVI in patients with complex anatomy
- To evaluate device selection and procedural modifications (e.g., use of alternative access routes, specialised delivery systems, and advanced guidewire techniques) for overcoming anatomical challenges
