Leaflet modification techniques during TAVI

Session comprising selected EuroPCR 2026 clinical cases submissions

Moderators: P. Gatto, S. C. C. Lam

Summary

This session explores leaflet modification techniques during TAVI, focusing on complex valve-in-valve procedures supported by artificial intelligence-powered planning and advanced imaging. Case discussions cover challenges such as low valve-to-coronary distances, bi-leaflet obstruction, and strategies to maintain coronary flow and hemodynamic stability.

Presentations available when logged in:

  • Optimising outcomes for complex TAVI valve-in-valve case with leaflet modification and artificial intelligence powered planning
  • UNICORN leaflet modification in aortic valve-in-valve with low VTC distances
  • UNICORN using a self-expanding valve followed by orthotopic left main stenting
  • Bi-leaflet short-cut causing obstruction and hemodynamic instability requiring ECMO during valve-in-valve TAVI
  • TAV-in-TAV with IVUS assisted leaflet modification
  • Keep the flow: a delicate coronary equilibrium