What criteria for the index TAVI procedure in younger and lower risk patients?

In this discussion, Matti Adam and Didier Tchétché explore how to optimise the index TAVI procedure in younger, low-risk patients, emphasising the importance of achieving excellent hemodynamic results, ensuring long-term durability, maintaining coronary access, and planning for potential redo procedures. Patient anatomy and high-quality imaging remain central to device selection and procedural strategy, while emerging tools such as AI-based simulation may further refine planning in complex cases. The key message: a tailored, precision-driven approach to the first procedure is essential to secure the best long-term outcomes in this evolving patient population.

This interview was filmed at EuroPCR 2026: see more videos here.