Maulik Parekh
Latest contributions
TAVI complications - Part 3
18 Nov 2025 – From PCR London Valves 2025
This session provides a detailed examination of TAVI-related complications and their management. Key topics include the STJ-sling technique, valve frame underexpansion diagnosis, real-time intracardiac echocardiography utility, recurrent cardiac arrest scenarios during TAVI, and management strategies for valve in-folding in self-expanding transcatheter valves.
Paravalvular leak closure - Part 4
18 Nov 2025 – From PCR London Valves 2025
This session delves into the complexities of paravalvular leak closure with a focus on challenging scenarios including unusual TAVI complications in the mitral position, management of mega paravalvular leaks using jumbo devices, and strategies when closure itself poses an obstacle. It also covers acute peri-operative aortic...
TAVI complications - Part 4
18 Nov 2025 – From PCR London Valves 2025
This session focuses on complex complications encountered in TAVI procedures, presenting challenging cases such as combined adverse events, wire-related technical difficulties, differential diagnosis between hypoattenuated leaflet thickening and infective endocarditis one year post-TAVI, issues caused by fractured sheath tips impacting valve expansion, and sinus breaches. These...
TAVI and coronary artery disease - Part 2
18 Nov 2025 – From PCR London Valves 2025
This session focuses on the intersection of transcatheter aortic valve implantation (TAVI) and coronary artery disease, addressing complex clinical scenarios. It covers innovative approaches such as double "chimney" stenting with balloon-expandable TAVI, strategies for high-risk TAVR combined with multivessel PCI, advances in Medtronic Fx+ TAVR technology,...
Nightmare mitral interventions
16 Nov 2025 – From PCR London Valves 2025
This session presents complex mitral valve intervention cases highlighting procedural challenges and innovative solutions. It includes management of embolised transcatheter mitral valve replacements (TMVR), bailout redo transcatheter edge-to-edge repair (TEER), complications such as acute hypoxia and atrial wall perforations, and the application of TAVI skills in...
TAVI valve-in-valve
16 Nov 2025 – From PCR London Valves 2025
This session presents complex valve-in-valve TAVI cases, illustrating advanced techniques such as valve fracture and snaring in difficult anatomies, approaches for pure aortic regurgitation in degenerated surgical valves, and strategies overcoming challenges in stentless bioprostheses and previous aortic repairs.
Tricuspid, mitral and structural innovations
11 Oct 2025 – From AICT-AsiaPCR 2025
This session presents a comprehensive overview of innovative interventions addressing complex structural heart conditions, including tricuspid and mitral valve diseases. Highlights include clinical experiences from the PESCAMI registry on mitral indirect annuloplasty, advanced percutaneous procedures for large pulmonary arteriovenous malformations, and transcatheter bicaval valve implantation for...
Featured Cases - TAVI in SAVR (Part 2)
26 Nov 2024 – From PCR London Valves 2024
Delve into this session featuring selected clinical cases from PCR London Valves 2024, focusing on the use of TAVI to address challenging scenarios in patients with prior surgical aortic valve replacement (SAVR). Gain insights into managing severe aortic regurgitation in degenerated homografts, stopping torrential aortic regurgitation...
Featured cases - TAVI coronary protection strategies (Part 1)
25 Nov 2024 – From PCR London Valves 2024
This session features a selection of challenging TAVI cases from PCR London Valves 2024, focusing on the use of coronary protection strategies. Learn from real-world experiences on navigating complex anatomies, predicting and mitigating coronary obstruction, and employing innovative techniques like the mini-chimney and Vienna pre-mounted dry...
Featured cases - TAVI in challenging annular anatomy
25 Nov 2024 – From PCR London Valves 2024
Featured cases - Valve-in-valve TAVI with balloon fracture
24 Nov 2024 – From PCR London Valves 2024
Delve into the world of complex valve-in-valve TAVI procedures in this featured cases session. Explore a diverse range of challenging cases, including valve fracture techniques, managing unexpanded valves, and overcoming the Achilles' heel of valve-in-valve TAVI. Learn from the experiences of expert clinicians as they navigate...
Featured cases - TAVI nightmares (Part 1)
24 Nov 2024 – From PCR London Valves 2024
Featured cases - TAVI-in-TAVI (Part 1)
24 Nov 2024 – From PCR London Valves 2024
Featured cases - Combined valve interventions (Part 1)
24 Nov 2024 – From PCR London Valves 2024
Explore a captivating collection of featured cases showcasing the art of combined valve interventions. Witness precision and planning in dual-valve symphony, innovative solutions for complex mitral annular calcification, and unexpected twists where the results defy expectations. Delve into transcatheter approaches for aortic bioprosthesis degeneration, mitral repair...
TAVI - Vascular complications
21 Nov 2023 – From PCR London Valves 2023
Learn valuable insights into vascular complications management and prevention during TAVI with this session: navigate the challenges of a post-TAVI common femoral artery occlusion in a patient with a previously implanted bioabsorbable closure device, witness the difficulties of common iliac artery stent dislodgment, explore the rare...
Rapid-fire - Combined structural interventions
21 Nov 2023 – From PCR London Valves 2023
Consult this session unraveling the nuances of combined structural interventions, and uncover a unique case of Platypnea-Orthodeoxia syndrome following TAVI, navigate through the complexities of combined TAVR and TMVR in rheumatic heart disease, explore the optimal timing for M-TEER after TAVR in mitral regurgitation, and more!
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 in bicuspid anatomy - Part 2
20 Nov 2023 – From PCR London Valves 2023
Consult this session to learn more about TAVI challenges in diverse bicuspid anatomical scenarios: witness the difficulties of TAVI in a bicuspid aortic valve with unrepaired aortic coarctation, delve into the nuances of treating a type 0 bicuspid aortic valve with anomalous coronary arteries, gain insights...
TAVI - Patient selection
20 Nov 2023 – From PCR London Valves 2023
Gain essential insights into TAVI patient selection through these selected abstract submissions from PCR London Valves 2023: explore the benefits of guideline-directed therapy for severe aortic stenosis, unravel the significance of subthreshold aortic valve calcium scores in patients with cardiac amyloidosis and aortic stenosis, delve into...
TAVI in bicuspid anatomy - Part 1
19 Nov 2023 – From PCR London Valves 2023
Delve into the complexities of TAVI within bicuspid anatomy through this selection of cases: encounter a challenging scenario with a bicuspid aortic valve, where the ejection fraction is -14%, coupled with left ventricle thrombus and an aortic valve calcium score reaching 11,000, learn more about the...
Rapid-fire - TAVI complications - Part 1
19 Nov 2023 – From PCR London Valves 2023
Delve into complex TAVI situations with this session: a TAVR that won't open, an heavily calcified aortic stenosis with bridged calcium between valve leaflet, a severe aortic stenosis coupled with triple vessel disease, a TAVI pop-out incident, and more!
Prevention and treatment of left ventricular outflow tract obstruction
19 Nov 2023 – From PCR London Valves 2023
Explore intriguing cases in this session and gain a deeper understanding of preventing and managing LVOT obstruction: uncover innovative approaches such as Valve-in-Valve TMVR with Lampoon, learn about the nuances of TMVR after re-section of the anterior leaflet, and more!
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 and difficult anatomy
18 Feb 2023 – From PCR Tokyo Valves 2023
Consult this session to discover how TAVI techniques helped cases of complex anatomy, such as: extremely horizontal aorta patient treated with snare-assisted TAVI technique, a novel simplified pacing-over-the-wire technique, successful non-contrast TAVI, and much more!
Rapid-fire clinical cases: Session 6
29 Nov 2022 – From PCR London Valves 2022
Discover a selection of abstracts presented during PCR LV 2022: valve-in-valve implant in a dysfunctional tricuspid bioprosthesis, first patient in TRICURE FIH trial, challenging percutaneous closure of prosthetic paravalvular leaks, and more!
Mitral valve-in-valve interventions
Discover various compelling mitral valve-in-valve interventions in this session: bioprosthetic valve dislodgment during transapical valve-in-valve-TMVR, surgical bioprosthetic valve fracture for optimising haemodynamics of mitral valve-in-valve procedure, valve-in-valve TMVR in rheumatic mitral stenosis, and more!
Rapid-fire clinical cases: Session 4
28 Nov 2022 – From PCR London Valves 2022
Consult this session to discover a selection of abstracts presented during PCR LV 2022: the buddy wire technique used with three different transcatheter heart valve systems, acute right coronary artery occlusion caused by calcium embolisation during TAVI, off-label temporary left ventricle haemodynamic support via Impella CP...
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...
Rapid-fire clinical cases: Session 1
27 Nov 2022 – From PCR London Valves 2022
Discover a selection of PCR London Valves 2022 case submissions in this session: quadricuspid aortic valve with pure regurgitation treated with Evolut PRO, complex high-risk patient with severe aortic regurgitation and extra-large anatomy, snare-assisted TAVI in case of calcified sinotubular junction, and more!
TAVI: Late-Breaking Trials and Innovations
27 Nov 2022 – From PCR London Valves 2022
Consult this session to discover a selection of PCR London Valves 2022 Late-Breaking Trial submissions, and learn more about the early safety and performance of the Vienna TAVI system, the new-generation transcatheter aortic valve platforms performance in native pure aortic regurgitation, and more!
