Transcatheter management of failed THV - LIVE case

An 84-year-old woman with diabetes mellitus, frailty (5/6), preserved LV function, and aortic stenosis previously treated with CoreValve 26 mm in 2016, presented with symptomatic degenerative stenosis of the valve.
A Sapien 3 (23 mm) was implanted without predilatation but with post-dilatation under general anaesthesia, using cerebral embolic protection and TEE guidance. Post-dilatation was performed with the balloon of the Sapien 3 immediately after implantation in the same procedural step. Watch the procedure!

LIVE Educational Case from Cheng Hsin General Hospital - Taipei City, Taiwan

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Key moments

• 05:42–08:50 - Imaging analysis
• 27:00–32:00 - Valve implantation
• 35:00–38:30 - Post-dilatation
• 43:01–43:24 - Cerebral embolic protection with basket debris analysis
• 47:18–49:32 - Procedural analysis

Keywords: TAV in TAV, Sentinel, Sapien 3, closure access, post-dilatation