11 Sep 2025
Tailored transfemoral TAVI in complex anatomies - LIVE Case
Self-expandable TAVI in small annulus with predilatation
Summary
Supported by an unrestricted educational grant from Medtronic
An 89-year-old male with hypertension, dyslipidemia, current smoking, stage III kidney disease, and a history of diagonal PCI in 2010 presented with severe symptomatic aortic stenosis and a small annulus (410 mm²), with RBBB on ECG.
Via bilateral femoral access, an Evolut FX 29 mm valve was implanted in cusp overlap view with commissural alignment, following a predilatation with a 20 mm balloon. The procedure required subsequent implantation of a permanent pacemaker after the TAVI.
Watch in-depth imaging analysis
LIVE Educational Case from Hospital Copa D'Or - Rio de Janeiro, Brazil
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Key moments
- 05:30-08:20 - CT analysis
- 36:30-38:00 - Predilatation
- 41:00-50:26 - Valve deployment
- 01:12:22-01:19:00 - Explanation of the landing zone
Keywords: Aortic valve stenosis, evolut FX, predilatation
Learning Objectives
- To analyse critical pre-procedural planning steps through live case discussion
- To explore decision-making strategies in anatomically complex or high-risk TAVI scenarios
- To highlight technical nuances and procedural best practices that contribute to successful outcomes
- To engage with expert commentary to translate live insights into daily structural practice