TAVI in bicuspid aortic valve disease - LIVE Case

A 79-year-old male patient with atrial fibrillation and RBBB on ECG presented with symptomatic severe bicuspid aortic stenosis. LV function was preserved, and coronary artery disease was noted in LAD and first diagonal. A 26 mm Sapien Ultra Resilia valve was implanted via dual femoral access, predilatation, and high implantation technique using double balloon inflation on a SavvyWire. Vascular closure was achieved with a ProGlide and 8F Angio-Seal, followed by echo and angio control.

LIVE Educational Case from Cleveland Clinic - London, United Kingdom

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Key moments

• 4:41-11:07 - Imaging analysis
• 22:30-24:35 - SavviWire
• 31:20-39:00 - Valve deployment with double balloon inflation
• 48:40-54:30 - Closure access
• 57:20-1:08:35 - Procedural analysis
• 1:17:02-1:18:51 - hemodynamic analysis

Keywords: Bicuspid aortic stenosis - Sapien Ultra Resilia - SavvyWire - Predilatation - Double balloon inflation - Closure access