Cleverson Zukowski

Cleverson Zukowski

Interventional cardiologist / Cardiologist
Centro Médico Hospital Copa D'Or - Rio De Janeiro, Brazil

Latest contributions

Orthotopic mitral devices coming soon

12 Sep 2025 – From PCR Rio Valves 2025

This session provides a forward-looking perspective on emerging orthotopic mitral valve devices for repair and replacement. Discussions focus on new device technologies soon to be available, patient selection criteria, and the specific developmental challenges encountered. Case presentations, including the TVMR Intrepid system, illustrate clinical applications and...

Orthotopic mitral devices coming soon

Transcatheter tricuspid valve replacement - Where are we in Latin America?

12 Sep 2025 – From PCR Rio Valves 2025

Stay abreast of the latest advances in transcatheter tricuspid valve replacement (TTVR) across Latin America. This session highlights orthotopic implant technologies, patient selection criteria, early clinical outcomes, and discusses future perspectives including training, technology access, and regional clinical impact.

Transcatheter tricuspid valve replacement - Where are we in Latin America?

Management of residual and recurrent mitral regurgitation after TEER

12 Sep 2025 – From PCR Rio Valves 2025

Delve into the complexities of managing residual and recurrent mitral regurgitation following Transcatheter Edge-to-Edge Repair (TEER). This session discusses challenges such as late mitral regurgitation, strategies for handling single leaflet detachment, and anatomical considerations that may preclude TEER feasibility.

Management of residual and recurrent mitral regurgitation after TEER

TAVI - Take the first step considering life time management

12 Sep 2025 – From PCR Rio Valves 2025

Understand the critical importance of lifetime management in TAVI, emphasizing how the initial procedure impacts long-term results. This session discusses implantation depth, commissural alignment, and their roles beyond coronary access, illustrated through a low-risk young patient case and current durability data.

TAVI - Take the first step considering life time management

Expanding horizons with balloon-expandable TAVI - LIVE Case

12 Sep 2025 – From PCR Rio Valves 2025

A 76-year-old male with a history of abdominal and iliac stent grafts (2022), severe COPD, prostate cancer, and gastric ulcer presented with symptomatic severe aortic stenosis. CT and echocardiography showed a calcified bicuspid aortic valve with preserved LV function.

A 24.5 mm Myval valve was implanted without...

Expanding horizons with balloon-expandable TAVI - LIVE Case

Mastering tricuspid TEER - LIVE Case

12 Sep 2025 – From PCR Rio Valves 2025

A 77-year-old male with atrial fibrillation and chronic kidney disease presented with symptomatic severe atrial tricuspid regurgitation.He underwent implantation of two TriClip XTW devices (antero-septal and postero-septal) under general anesthesia, guided by transesophageal echocardiography (TEE).

LIVE Educational Case from Bordeaux University Hospital - Bordeaux, France

Navigate the video...

Mastering tricuspid TEER - LIVE Case

Precision in mitral TEER

11 Sep 2025 – From PCR Rio Valves 2025

Join this live educational session from Bordeaux University Hospital to gain expert insights into mitral transcatheter edge-to-edge repair (TEER). Explore optimal timing and clinical decision-making for mitral regurgitation treatment, and discover how the PASCAL Precision system enhances procedural precision across diverse mitral anatomies. Witness real-time strategies,...

Tailored transfemoral TAVI in complex anatomies - LIVE Case

11 Sep 2025 – From PCR Rio Valves 2025

Supported by an unrestricted educational grant from Medtronic

An 89-year-old male with hypertension, dyslipidemia, current smoking, stage III kidney disease, and a history of diagonal PCI in 2010 presented with severe symptomatic aortic stenosis and a small annulus (410 mm²), with RBBB on ECG.

Via bilateral femoral access,...

Tailored transfemoral TAVI in complex anatomies - LIVE Case

The complexity of transcatheter tricuspid valve interventions

11 Sep 2025 – From PCR Rio Valves 2025

Explore the complexities of transcatheter tricuspid valve interventions through a series of case studies tackling challenging clinical scenarios. Discover therapeutic options, including TEER in patients with pacemaker leads, imaging strategies with ICE, transcatheter tricuspid valve replacement using Evoque and LuxValve devices, as well as simpler approaches...

The complexity of transcatheter tricuspid valve interventions

Welcome to PCR Rio Valves 2025

11 Sep 2025 – From PCR Rio Valves 2025

Watch the opening ceremony of the very first edition of PCR Rio Valves! Experience the excitement as this inaugural 2-day Course kicks off. Hear introductions in English, Portuguese, and Spanish, meet the Course Directors, Programme Committee, and Faculty, explore the rich program in detail, and get...

Welcome to PCR Rio Valves 2025

Early invasive treatment for aortic stenosis?

09 Aug 2025

Watch this replay with F. Ribichini, P. Caramori and C. Zukowski to discuss on how symptom status can be assessed, and how imaging supports the selection of asymptomatic patients for TAVR and so much more!

TAVI in bicuspid aortic valve disease - LIVE Case

20 May 2025 – From EuroPCR 2025

A 79-year-old male patient with atrial fibrillation and RBBB on ECG presented with symptomatic severe bicuspid aortic stenosis. LV function was preserved, and coronary artery disease was noted in LAD and first diagonal. A 26 mm Sapien Ultra Resilia valve was implanted via dual femoral access,...

TAVI in bicuspid aortic valve disease - LIVE Case

How to manage coronary artery disease in TAVI candidates?

20 May 2025 – From EuroPCR 2025

Understand the comprehensive management of coronary artery disease (CAD) in patients undergoing transcatheter aortic valve implantation (TAVI). This session reviews evidence-based evaluation, decision-making, and treatment strategies for significant coronary lesions, including severe left main and multivessel disease, illustrated through detailed case studies.

How to manage coronary artery disease in TAVI candidates?

First guidelines for the treatment of LM disease issued by SOLACI and SIAC

22 May 2025 – From EuroPCR 2025

During EuroPCR 2025, Cleverson Zukowski and Pablo Lamelas introduce a landmark initiative: the first clinical guidelines for left main disease specifically developed for Latin America.

Published by the Latin American Society of Interventional Cardiology (SOLACI) and the Interamerican Society of Cardiology (SIAC), these recommendations aim to support...

First guidelines for the treatment of LM disease issued by SOLACI and SIAC

Featured cases - TAVI coronary protection strategies (Part 3)

26 Nov 2024 – From PCR London Valves 2024

This session, part of the Featured Cases series from PCR London Valves 2024, focuses on TAVI coronary protection strategies. Explore various challenging cases, including valve-in-valve TAVI scenarios with the risk of left main artery obstruction, orthotopic chimney stenting following valve-in-valve TAVI, and the management of post-dilatation...

Featured cases - TAVI coronary protection strategies (Part 3)

Featured Cases - TAVI and co-existent coronary artery disease

25 Nov 2024 – From PCR London Valves 2024

Dive into this comprehensive session featuring selected clinical cases from PCR London Valves 2024, focusing on the management of TAVI and coexistent coronary artery disease. Explore various scenarios, including cases of severe aortic stenosis presented with acute coronary syndrome and cardiogenic shock, lifetime management of CAD...

Featured Cases - TAVI and co-existent coronary artery disease

TAVI and coronary artery disease

24 Nov 2024 – From PCR London Valves 2024

How does coronary artery disease shape outcomes in TAVI patients, and when should revascularization come into play? This video explores these critical questions, offering a deep dive into the latest evidence and strategies for managing combined aortic stenosis and coronary artery disease.

From understanding revascularization timing to...

TAVI and coronary artery disease

Featured cases - TAVI embolisation (Part 1)

24 Nov 2024 – From PCR London Valves 2024

Explore a captivating collection of featured TAVI cases from PCR London Valves 2024. Witness the management of complex complications such as valve embolization, retrograde migration, and coronary sequestration. Discover innovative percutaneous retrieval techniques, cases of multiple valves in TAVI, and strategies for handling acute valve migration...

Featured cases - TAVI embolisation (Part 1)

Vascular access complications following TAVI

15 May 2024 – From EuroPCR 2024

This session comprises selected EuroPCR 2024 Clinical Case submissions focused on the management of vascular access complications following TAVI procedures. It will cover topics such as the management of a snapped single ProGlide, the use of distal femoral access to manage TAVI vascular complications, and the...

Vascular access complications following TAVI

When and how to plug holes in the cathlab

14 May 2024 – From EuroPCR 2024

This session comprises selected EuroPCR 2024 Clinical Case submissions focused on the diagnosis and management of various types of holes and fistulas encountered in the catheterization laboratory. The cases cover a range of scenarios, including large holes in unexpected locations, left ventricle-left atrial appendage fistulas, pulmonary...

When and how to plug holes in the cathlab

Rapid-fire - Challenging TAVI procedures - Part 5

21 Nov 2023 – From PCR London Valves 2023

Discover challenging TAVI scenarios in this session: experience the challenges posed by a small annulus with anomalous coronary arteries, delve into the Mitroflow Valve-in-Valve TAVR procedure, witness a unique approach to TAVI in a patient with a mechanical mitral valve, and more!

Rapid-fire - Challenging TAVI procedures - Part 5

TAVI in patients with coronary artery disease

20 Nov 2023 – From PCR London Valves 2023

Consult this session for a swift overview of navigating TAVI complexities in the presence of coronary artery disease: navigate through cases involving the management of severe aortic stenosis coupled with stable severe coronary artery disease, explore scenarios where valvular and coronary calcium present challenges, witness successful treatment...

TAVI in patients with coronary artery disease

TAVI with challenging femoral access

19 Nov 2023 – From PCR London Valves 2023

Learn how to perform transfemoral TAVI using orbital atherectomy, insert a self-expanding valve through a tortuous and calcified aorta, or navigate through calcified vessels or kinked aorta thanks to the techniques presented in this session, among others.

TAVI with challenging femoral access

TAVI in complex scenarios

19 Nov 2023 – From PCR London Valves 2023

What do we mean by "complex scenarios"? When zero-contrast TAVI implantation becomes a good alternative in kidney disease, when TAVI is implanted in a patient with mechanical mitral valve, or when TAVI is implanted in very large annulus with subannular aneurysm, for example!

TAVI in complex scenarios

Combined valve interventions

28 Nov 2022 – From PCR London Valves 2022

Among the very interesting cases presented in this PCR LV 2022 session, watch the 1st case of TMVR and TTVR in a patient with the use of dedicated investigational devices, simultaneous transcatheter mitral and tricuspid approach in a patient with dextrocardia, or simultaneous mitral valve-in-valve, tricuspid...

Combined valve interventions

Tricuspid and pulmonary interventions

27 Nov 2022 – From PCR London Valves 2022

Watch this series of cases presented at PCR LV 2022 and learn more about Alagille syndrome, how to treat a significant right-to-left shunt after bicaval valve implantation, or analyze transcatheter pulmonary valve implantation in tetralogy of Fallot, among others.

Tricuspid and pulmonary interventions