Procedural optimisation for enhanced acute and long-term outcomes

Spokesperson: D. Mylotte
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Summary

This session delves into procedural optimization techniques for transcatheter aortic valve implantation (TAVI) to enhance both acute and long-term outcomes. It discusses critical procedural factors such as valve sizing, expansion, implantation depth, and commissural alignment, and their role in valve durability and survival. Practical cathlab cases illustrate pre-dilatation, post-dilatation, and commissural alignment techniques, including considerations for younger patients.

Learning Objectives

  • To identify procedural factors that influence long-term outcomes after TAVI, including valve sizing, valve expansion, implantation depth, and commissural alignment
  • To understand why procedural optimisation, beyond acute success, translates into improved valve durability, sustained haemodynamic performance, and long-term survival
  • To learn practical techniques for pre-dilatation, post-dilatation, and commissural alignment using real cathlab cases