TAVI in extensive valve calcifications - LIVE case

Self-expendable valve in severe calcifed aortic valve stenosis

Operators: T. Patterson, S. Redwood

Procedural Analyst: F. Sawaya

Summary

An 88‑year‑old woman with a history of dual‑chamber PPM and prior radiotherapy for breast cancer presented with symptomatic aortic stenosis and preserved left ventricular function.

A 27 mm Navitor Vision valve was implanted under local anesthesia using dual arterial access (femoral and right radial arteries).

LIVE Educational Case from Cleveland Clinic - London, UK

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Key moments

21:05-21:50 - Valve crossing
28:37-40:51 - Valve deployment
41:44-45:39 - Final hemodynamic and echo finding
48:04-52:40 - Femoral access closure
53:28-58:16 - Procedural analysis

Keywords: Aortic stenosis, Navitor vision, access closure

Learning Objectives

To understand how to approach transcatheter aortic valve implantation in a patient with significant landing zone calcification.
To learn the optimal implementation technique for a third generation intra-annular self-expanding valve
To understand the recommended approach to the assessment and management of coronary artery disease in patients undergoing TAVI.

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