Matjaz Bunc
Latest contributions
TAVI coronary access
22 May 2025 – From EuroPCR 2025
Gain expertise in managing coronary access challenges in TAVI patients. This session discusses when and how to treat coronary lesions in TAVI candidates, strategies to facilitate coronary approach post-TAVI, and long-term outcomes with practical tips through illustrative cases including primary PCI after CoreValve implantation and valve-in-valve...

The Landmark RCT - One-year results
21 May 2025 – From EuroPCR 2025
This session presents a detailed analysis of a landmark randomized controlled trial evaluating the Myval transcatheter aortic valve implantation (TAVI) system among other contemporary transcatheter valves. The discussion centers on one-year clinical outcomes, with a particular focus on women, patients with small aortic annuli, and those...

TAV-in-TAV in SAV 3 valves procedures
21 May 2025 – From EuroPCR 2025
Examine the complexities of TAV-in-TAV procedures in degenerated surgical aortic valves (SAV) and TAVI valves. This session discusses cases involving massive aortic regurgitation, lifetime management challenges, and valve-in-valve-in-valve scenarios, providing practical insights into managing multiple valve interventions and associated complications.

Rapid-Fire - TAVI-in-TAVI (Part 2)
26 Nov 2024 – From PCR London Valves 2024
Delve into a rapid-fire session showcasing selected clinical cases from PCR London Valves 2024, focusing on TAVI-in-TAVI procedures. Discover insights into unexpected complications, such as coronary artery occlusion, and explore the comparison of hemodynamic valve deterioration processes between self-expanding and balloon-expandable THVs. Learn about procedural planning...

Featured cases - TAVI in challenging annular anatomy
25 Nov 2024 – From PCR London Valves 2024

Featured cases - TAVI in SAVR (Part 1)
24 Nov 2024 – From PCR London Valves 2024
Delve into a collection of compelling TAVI cases involving prior surgical aortic valve replacement (SAVR). Witness the nuances of valve-in-valve TAVI, including the importance of pre-dilation and the challenges of uncrossable valves. Gain insights into managing severe aortic regurgitation in failed bio-Bentall procedures and navigating TAVI...

Featured cases - TAVI nightmares (Part 1)
24 Nov 2024 – From PCR London Valves 2024

Rapid-fire - TAVI
24 Nov 2024 – From PCR London Valves 2024
Dive into this rapid-fire session showcasing selected PCR London Valves 2024 Clinical Cases submissions related to TAVI. Explore diverse and challenging TAVI scenarios, including TAVI in patients with cardiogenic shock, pure aortic regurgitation, and patient-prosthesis mismatch. Gain insights into troubleshooting techniques and strategies for navigating complex...

Transcatheter solutions for combined valve disease
17 May 2024 – From EuroPCR 2024
This session delves into the transcatheter management of patients with combined valve disease, including cases of concomitant aortic stenosis and mitral regurgitation, failed bioprostheses in both the aortic and mitral valves, and severe aortic regurgitation after previous valve-sparing root replacement. The session features case presentations and...

ACS: how to approach special clinical scenarios
17 May 2024 – From EuroPCR 2024
This session focuses on the management of acute coronary syndrome (ACS) in special clinical scenarios. It covers topics such as treating ACS with multivessel disease, managing an ACS and unstable patient, and addressing subacute myocardial infarction. The session features case presentations and discussions, providing insights and...

Complications in CTO: is there a bailout?
16 May 2024 – From EuroPCR 2024
Watch this session on CTO complications and explore unique challenges and solutions, including a retrograde CTO technique with a twist, an unexpected outcome in a right coronary artery case, and an atypical perforation caused by an unexpected equipment issue. You’ll also see how a guide wire...

TAVI in cardiogenic shock
15 May 2024 – From EuroPCR 2024

LANDMARK RCT - Early outcomes of a randomised non-inferiority trial comparing TAVI devices: the LANDMARK trial
15 May 2024 – From EuroPCR 2024
This session provides an overview of the early outcomes of the LANDMARK trial, a randomized non-inferiority trial comparing TAVI devices. It examines baseline characteristics, the significance of intermediate sizes according to MSCT recommendations, real-world representative cases from the LANDMARK RCT, insights from quantitative aortography and echocardiography...

Aortic valve-in-valve or TAV-in-TAV challenges
15 May 2024 – From EuroPCR 2024
This session comprises selected EuroPCR 2024 Clinical Case submissions focused on the challenges of aortic valve-in-valve or TAV-in-TAV procedures. The session will feature various complex cases, including when even two surgeries are not enough, resilient rhythms in geriatric resurgence, valve-in-valve TAVI for degenerated small surgical bioprosthetic...

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!

TAVI - Coronary complications
21 Nov 2023 – From PCR London Valves 2023
Explore challenging situations in this session: witness the rare occurrence of coronary embolization resulting from a fractured biological surgical valve in an aortic valve-in-valve procedure, uncover the complexities surrounding the late presentation of cardiogenic shock after TAVR, navigate the unusual challenge of intermittent left main obstruction caused...

Coronary imaging in the structural cathlab
21 Nov 2023 – From PCR London Valves 2023
If you still have any doubts, take a look at the presentations in this PCR LV 2023 session to be convinced of the importance of imaging, particularly IVUS, pre-, during and post-TAVI! It helps to prevent coronary artery occlusions, manage post-TAVR complications and guide rotablation, to name...

TAVI - New indications, techniques and devices - Part 3
20 Nov 2023 – From PCR London Valves 2023
Explore the latest in TAVI with this selection of abstracts: witness the application of valve-in-valve TAVI for failed sutureless surgical bioprostheses and gain insights from the analysis of the use and performance of the Evolut FX transcatheter aortic valve system.

Rapid-fire - Challenging TAVI procedures - Part 3
20 Nov 2023 – From PCR London Valves 2023

TAVI - Coronary protection strategies
20 Nov 2023 – From PCR London Valves 2023
Consult this session for key insights into diverse coronary protection approaches: get a look at the management of a complex case involving a degenerated aortic bioprosthesis and paravalvular leak, observe a successful TAVI in calcified bicuspid anatomy with low coronaries, delve into a case featuring a degenerated...

Valve-in-valve procedures - Part 1
18 May 2023 – From EuroPCR 2023
Discover the innovative solutions offered by valve-in-valve procedures in this session: witness the successful application of this technique in a patient with heparin-induced thrombocytopenia, explore a captivating case series showcasing valve-in-valve TAVI in failed Perceval bioprostheses, delve into the complexities of TAVR in SAVR in IIIb type...

TAVI: preventing coronary obstruction
18 May 2023 – From EuroPCR 2023
Explore the strategies to prevent coronary obstruction during TAVI procedures and learn valuable insights to enhance patient outcomes in this session: witness the challenges faced in valve-in-valve cases with a high risk of this complication, discover the utilization of dedicated splitting devices as a proactive measure to mitigate...

Valve-in-valve procedures - Part 2
18 May 2023 – From EuroPCR 2023
Embark on a captivating exploration of a challenging valve-in-valve case, where a non-retractable self-expandable aortic prosthetic valve presents a unique complication by deeply opening within the left ventricle, and witness the successful management of this complex scenario.

Increase the complexity: multivalvular coronary interventions
17 May 2023 – From EuroPCR 2023
Investigate the increasing complexity of multivalvular coronary interventions in this insightful case-based presentation. Witness the complex challenges faced and discover the innovative approaches used to navigate the complex procedures.

Complex TAVI procedures
16 May 2023 – From EuroPCR 2023
This session presents 3 complex cases and explains how to treat them: aortic stenosis presenting double trouble, complex CAD and severe bioprosthetic aortic regurgitation, and SW ballooning and bulboventricular foramen for TAVI optimisation

Rapid-fire clinical cases: Session 7
29 Nov 2022 – From PCR London Valves 2022
Consult this session to discover a selection of abstracts presented during PCR LV 2022: simultaneous transcatheter edge-to-edge repair of mitral and tricuspid valve, transcatheter valve implantation in mitral and tricuspid valve position, TEER failure in mitral and tricuspid position: troubleshooting approach for a rare but still eventful case,...

Valve-in-valve TAVI: Session 2
28 Nov 2022 – From PCR London Valves 2022
Consult this session on Valve-in-valve TAVI to discover a selection of cases presented during PCR LV 2022: valve-in-valve TAVR status post ascending aorta and aortic arch replacement, valve-in-valve and endovascular treatment of aortic dissection in a Marfan patient, valve-in-valve TAVR in a freestyle root 25 mm through a severely...

Rapid-fire abstracts: Session 9
28 Nov 2022 – From PCR London Valves 2022
Consult this session to discover a selection of abstracts presented during PCR LV 2022: impact of different aortic valve calcification pattern on the haemodynamic performance of self-expanding intra-annular transcatheter heart valve, device failure in bicuspid aortic stenosis following TAVR, the learning curve and clinical outcomes in...

Complications during TAVI procedures
19 May 2022 – From EuroPCR 2022
Delivery system failure during TAVI, TAVI and complex PCI, Valve-in-valve TAVI in dissected ascending aorta with severe regurgitation... Take advantage of a selection of TAVI cases with complications to think about how best to deal with the most challenging situations!

Valve-in-valve could be a challenging procedure
19 May 2022 – From EuroPCR 2022
Watch this session on valve-in-valve to learn how to deal with challenging procedures: FIH experience with first dedicated transcatheter leaflet splitting device, bioprosthesis haemodynamics and coronary flow after TAVI in TAVI, and simultaneous complex transcatheter treatment for degenerated prosthetic valves.
