TAVI Atlas: Procedural concepts

The website section on procedural concepts offers the community a visual perspective on each valve design. Vascular access, crossing the aortic valve, safe stiff guidewire positioning in the left ventricle, optimal projection, balloon pre-dilatation, valve deployment and access closure.

We present step by step implantation of a transcatheter aortic valve through angiography illustrations, phantom model and cartoon animations.

The use of vascular closure devices is widespread and becoming more common, both with operators who perform their process via the femoral approach and those using radial access. Interventionists performing arterial access procedures should be aware of when and how to use them, as well as the advantages and disadvantages of each device, and predicting and treating any complications which may occur. For more information, consult the PCR-EAPCI Textbook on Chapter 5 on Vascular closure or Chapter 32 on TAVI.

6 results

Vascular access during TAVI

25 Mar 2019

Find out more about access: fluoroscopy guided access, echo-guided access, femoral angiography, straightening femoral trajectory with a stiff guidewire, preclosure...

Optimal projections in TAVI: adjusting and obtaining optimal projection

20 Aug 2018

An optimal projection with all three aortic cusps aligned is crucial during TAVI.

Crossing the aortic valve

24 Nov 2017

Discover all the tips and tricks for crossing the aortic valve...

Procedural concepts: crossing the aortic valve

Safe stiff guidewire positioning in the left ventricle

24 Nov 2017

Consult the safe stiff guidewire positioning in the left ventricle if you want to learn more about the basic technique and corrective manoeuvre.

Balloon pre-dilatation

04 Nov 2017

Learn more about balloon-expandable transcatheter aortic valve implantation with pre-dilatation of the aortic valve. Balloon aortic valvuloplasty is recommended prior to valve implantation but may contribute to procedural risk.

Procedural concepts: balloon pre-dilatation

Access closure: ProGlide device

04 Nov 2017

Consult the vascular closure device for access site closure with ProGlide.