David Hildick-Smith
Latest contributions
Complications of paravalvular leak closure
18 Nov 2025 – From PCR London Valves 2025
This session addresses the complexities and risks associated with paravalvular leak (PVL) closure. It offers detailed analysis of principal complications, prevention techniques, and practical management strategies shared by experienced operators. Case studies illustrate complications such as device embolisation, prosthetic valve disc impingement, and delivery failures, along...
The index valve matters: optimal index TAVI for a lifetime of possibilities
18 Nov 2025 – From PCR London Valves 2025
Discover how thoughtful index valve selection and implantation techniques can shape the long-term management of patients undergoing TAVI. This PCR London Valves 2025 session highlights treatment considerations for low- and intermediate-risk patients, explores how valve choice affects the feasibility of future interventions, and examines strategies to...
Featured research - Mitral valve interventions: Physiology & device innovation
17 Nov 2025 – From PCR London Valves 2025
This session highlights groundbreaking research on mitral valve interventions featuring advanced transcatheter techniques. Topics include coronary physiology assessment with vFFR in severe mitral regurgitation, predictive versus actual outcomes in TMVR, innovative devices like Epygon and INNOVALVE, and novel approaches such as the ReNiva posterior leaflet replacement...
Myval THV series - Optimise patient outcomes with novel design, data and daily clinical practice
17 Nov 2025 – From PCR London Valves 2025
Discover the essential takeaways from the Myval THV series for improving TAVI outcomes. Learn from high-volume operators how pre-procedural planning, imaging, and sizing rationale guide optimal patient management. See step-by-step implantation of the next-gen Myval Octapro+, including the OctaAlign technique, and understand how precise deployment and...
Challenging valve and structural interventions: Recorded cases
17 Nov 2025 – From PCR London Valves 2025
This session presents recorded educational cases from Netcare Sunninghill Hospital in Johannesburg, South Africa, illustrating challenging valve and structural interventions. These real-world cases offer valuable insights into patient presentations and procedural execution in complex structural heart disease management.
Recorded Educational Cases from Netcare Sunninghill Hospital - Johannesburg,...
Getting the full potential of the supra-annular valve in a changing landscape
16 Nov 2025 – From PCR London Valves 2025
This session explores the evolving landscape of transcatheter aortic valve implantation (TAVI) with a focus on supra-annular valve technology. It covers techniques for achieving commissural alignment, considerations for small aortic annuli, and advantages in treating bicuspid aortic valve disease, supported by clinical data and illustrative cases.
Managing difficult problems during TAVI procedures
22 May 2025 – From EuroPCR 2025
This session reviews difficult problems and complications encountered during TAVI procedures. Learn from real-world cases, expert treatment strategies, and key takeaways to enhance management and improve patient outcomes in challenging scenarios.
New devices for structural interventions
21 May 2025 – From EuroPCR 2025
Discover emerging devices transforming structural heart interventions. This session highlights biomimetic valve designs, new transcatheter aortic valve systems, novel devices for aortic insufficiency, leaflet resection, left atrial appendage closure, and short self-expanding TAVR valves with promising early results.
How do I confidently expand my drug-coated balloon practice?
21 May 2025 – From EuroPCR 2025
This EuroPCR 2025 session challenges the conventional approach to bifurcation PCI and dissection management. Learn why drug-coated balloons (DCB) may offer better long-term outcomes in cases where stents fall short, how DCBs can simplify bifurcation strategies, and why it’s time to rethink which dissections really need...
Through decisions in complex left main PCI - Isolated ostial left circumflex
21 May 2025 – From EuroPCR 2025
Navigate complex isolated ostial left circumflex lesions with a focus on the integration of imaging and physiological assessment. Learn treatment options and optimisation strategies to improve long-term outcomes in left main PCI through detailed case presentations and expert guidance.
Paravalvular leak closure: challenges and percutaneous solutions
21 May 2025 – From EuroPCR 2025
This session addresses the challenges and percutaneous techniques for paravalvular leak closure following valve replacement. Through complex case studies, it explores managing unexpected anatomical defects, dealing with failed closure attempts, and strategies in malpositioned valves, providing practical guidance for successful intervention in difficult scenarios.
Evolving bifurcation treatment practices: drug-coated balloons, angio-based FFR, and side branch optimisation
20 May 2025 – From EuroPCR 2025
Explore how bifurcation treatment is evolving with the integration of drug-coated balloons, angio-based FFR, and advanced side branch optimisation. This EuroPCR 2025 session highlights why DCB is gaining traction for bifurcation lesions and introduces the upcoming EBC-DCB trial comparing a stepwise DCB strategy to provisional DES...
Use of advanced coronary techniques in bailout of aortic valvuloplasty balloon entrapment
25 Mar 2025
Balloon entrapment in valvuloplasty can be life-threatening, especially after balloon rupture. Learn about a new technique involving balloon internalisation and safety snares for successful retrieval and sheath upsizing.
The top clinical cases in interventional cardiology
25 Nov 2024 – From PCR London Valves 2024
Curious about the latest in interventional cardiology? Don't miss this video!
You'll discover groundbreaking techniques for complex conditions, from treating mitral regurgitation after healed endocarditis to repairing the tricuspid valve in dextrocardia. You'll also see the latest advances (including the SAPIEN 3 Tendyne device) and gain expert...
Non-transfemoral TAVI - The toolkit
25 Nov 2024 – From PCR London Valves 2024
When should you consider alternative access for TAVI instead of the transfemoral route? This video dives right into the different non-transfemoral approaches, from transsubclavian to transcaval, and explains when each technique is most appropriate.
Learn how vascular modification can expand access options for more patients and discover...
Breaking new ground in mitral valve interventions
24 Nov 2024 – From PCR London Valves 2024
What’s shaping the future of mitral valve therapies? This video from PCR London Valves 2024 unveils groundbreaking late-breaking trials that redefine the possibilities in mitral interventions.
You'll explore real-world insights from the OCEAN-Mitral registry on the MitraClip G4, uncover the link between tricuspid regurgitation and 3-year mortality...
Insights from the top late-breaking trials at PCR London Valves 2024
24 Nov 2024 – From PCR London Valves 2024
Looking to stay ahead in transcatheter valve therapies? Don't miss out this video showcasing the most impactful late-breaking trials from PCR London Valves 2024.
Discover pivotal findings, including one-year results comparing two balloon-expandable TAVI valves, outcomes of the TRISCEND II trial for tricuspid regurgitation and groundbreaking insights...
Optimisation of your valve implantation to ensure lifelong outcomes using a novel self-expanding valve
24 Nov 2024 – From PCR London Valves 2024
Gain insights into the importance of valve optimization post-implantation to secure acute and long-term outcomes. In this session, you will discover the new features and benefits of the ACURATE Prime platform illustrated by a recorded case, and compare how different TAVI platforms perform when treating larger...
Stentless bifurcation PCI: what does the future hold?
25 Sep 2024
Watch the replay of this webinar on contemporary challenges in bifurcation PCI in case examples and so much more!
Imaging-guided left main PCI - LIVE case
Recommended by PCR
17 May 2024 – From EuroPCR 2024
A 53-year-old male with a history of advanced malignancy (lung adenoma) and mid LAD PCI last year, along with multiple risk factors (hypertension, dyslipidemia, diabetes, and smoking), presented with angina and a positive stress test and CT. The angiography and CT showed significant left main stenosis...
Complicated scenarios in LAA occlusion
15 May 2024 – From EuroPCR 2024
Explore this session to discover strategies for handling complications during and after LAA occlusion, examine scenarios where LAA occlusion can serve as a secondary intervention, and review complex cases like embolised occluders, combined MitraClip and LAA procedures, and unexpected events in patient management.
How do I confidently expand my DCB practice?
15 May 2024 – From EuroPCR 2024
This session offers insights on identifying appropriate lesions for DCB treatment, understanding the essential concepts for achieving optimal immediate results with DCB PCI, and exploring the long-term angiographic and clinical outcomes. The session emphasizes the importance of lesion preparation, notes that there are no contraindications for...
Go beyond metal: exploring drug-eluting balloon technology in de-novo coronary lesions
15 May 2024 – From EuroPCR 2024
Through the study of two cases, this session examines the need for stenting bifurcation lesions and the role of DEB technology in avoiding stent-related complications in long diffuse disease. It emphasizes the benefits of SELUTION SLR balloons for de novo lesions, discussing how sustained limus release...
Contemporary surgical and transcatheter approaches for multivalve disease
21 Nov 2023 – From PCR London Valves 2023
Explore modern surgical and transcatheter strategies for addressing multivalve disease in this session: gain in-depth knowledge about the current approaches in both surgical and transcatheter management of multivalve disease, develop a profound understanding of algorithms guiding the identification of the dominant valve lesion and shaping procedural...
Mitral valve intervention in complex scenarios - Transcatheter mitral valve replacement - who are the eligible patients, and what are the available options?
21 Nov 2023 – From PCR London Valves 2023
This PCR London Valves 2023 session about mitral valve interventions seeks to address three key questions: identifying the ideal patient for Transcatheter Mitral Valve Implantation (TMVI), exploring treatment alternatives for ineligible patients, and discussing the prediction and management of left ventricular outflow tract obstruction. Watch video...
Mitral valve intervention in complex scenarios - Transcatheter paravalvular leak closure
21 Nov 2023 – From PCR London Valves 2023
Everything you need to know about mitral PVL and transcatheter closure is outlined in this session: clinical implications, indications for transcatheter closure, role of imaging, necessary access and equipment, and even tips for difficult anatomies.
Challenging TAVI cases
19 Nov 2023 – From PCR London Valves 2023
This PCR London Valves 2023 session aims to analyse some of the complex aspects of TAVI by looking at challenging clinical and anatomical scenarios to enable you to learn how to manage potential complications by learning about innovative strategies and exploring different approaches.
Can we use provisional stent strategy in complex bifurcation lesions?
18 May 2023 – From EuroPCR 2023
Watch this session to learn when a provisional stent strategy is appropriate for complex bifurcation lesions, discover optimization techniques for provisional stenting, and understand the scenarios that necessitate stenting the side branch.
TAVI cases that I need to think more
18 May 2023 – From EuroPCR 2023
Consult this session if you want to optimise management of concomitant coronary artery disease and heart failure in TAVI patients, to predict, evaluate, and manage paravalvular leakage after TAVI, and to diagnose, manage, and prevent vascular complications in TAVI.
PFO closure: safety, challenging anatomies and complications
17 May 2023 – From EuroPCR 2023
Disocover these cases to master PFO closure! Understand indications and patient selection, execute safe procedures, and navigate pitfalls with effective management strategies.
