Paul Chiam
Latest contributions
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.
My approach for a calcified bifurcation lesion
20 May 2025 – From EuroPCR 2025
This session provides a comprehensive approach to managing calcified bifurcation lesions. Learn how to interpret angiographic and intravascular imaging, plan interventions with appropriate devices for simplicity and safety, and evaluate final results to understand their clinical impact through real cases.
Challenging TAVI
09 Feb 2025 – From PCR Tokyo Valves 2025
Delve into this captivating session that explores challenging TAVI procedures. Witness the management of a patient with pure aortic regurgitation and previous mitral valve replacement, an extremely challenging transfemoral TAVI, the management of bradycardia before TAVI in a patient with MVR and TVR, a case of...
TAV-in-TAV
08 Feb 2025 – From PCR Tokyo Valves 2025
Watch this PCR Tokyo Valves 2025 session on TAV-in-TAV to discover essential insights on optimizing the procedure. Learn how CT analysis and precise measurements are critical for success, and why coronary protection, chimney stenting, and leaflet modification must be considered in high-risk cases. Experts discuss key...
TAVI complications: hemolytic anemia, prosthetic valve endocarditis & stroke
08 Feb 2025 – From PCR Tokyo Valves 2025
Gain valuable insights into the management of complications associated with Transcatheter Aortic Valve Implantation (TAVI). Discover the latest evidence on hemolytic anemia, the predictive value of the hemoglobin to creatinine ratio, outcomes of transcarotid TAVI, a case study on prosthetic valve endocarditis, the role of diastolic...
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 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...
TAVI for a patient with small aortic annulus
04 Oct 2024 – From AICT-AsiaPCR 2024
Join us for a LIVE educational case from the National University Heart Centre, Singapore, focusing on the challenges of TAVI in patients with small aortic annuli. Gain insights into strategies for valve selection, deployment techniques, and overcoming anatomical constraints to deliver optimal outcomes for this complex...
Challenging situations to access the aortic valve - Part 2
15 May 2024 – From EuroPCR 2024
This session features a series of selected EuroPCR 2024 Clinical Case submissions, showcasing various challenging scenarios encountered during transcatheter aortic valve interventions. Experts will present and discuss cases involving transbrachial TAVI, TAVI on a porcelain aorta, transcaval access, and other complex access approaches, providing valuable insights...
DCB PCI in restenosis and de novo lesions
14 May 2024 – From EuroPCR 2024
This session will feature a series of selected clinical case submissions from EuroPCR 2024, focusing on the use of drug-coated balloons (DCB) in the management of restenosis and de novo coronary lesions. Attendees will have the opportunity to explore various strategies, including the use of a...
TAVI in bicuspid stenosis: complex situations
14 May 2024 – From EuroPCR 2024
This session comprises selected clinical case submissions focused on TAVI (Transcatheter Aortic Valve Implantation) in patients with bicuspid aortic stenosis. Participants will learn about complex scenarios, including fusion raphe, hostile bicuspid anatomy, large annulus, and early TAVR dysfunction. The session features case presentations followed by audience...
Rapid-fire - PVL after TAVI
17 Feb 2024 – From PCR Tokyo Valves 2024
This session of rapid-fire submitted cases focuses on PVL after TAVI. Explore complex cases such as acute haemolytic anaemia associated with paravalvular leak after TAV-in-TAV, haemolytic anaemia due to a small paravalvular leak, and others.
PCI after TAVI
17 Feb 2024 – From PCR Tokyo Valves 2024
Through these slides, examine selected cases of percutaneous coronary intervention after TAVI. Explore the case of a successful bailout PCI with en-face view for sinus sequestration after self-expandable TAVI, learn about best management of previous implanted chimney stent during TAVI, and more.
Valve-in-Valve
17 Feb 2024 – From PCR Tokyo Valves 2024
Discover various compelling cases of valve-in-valve interventions in this session: such as TAVI for a structural valve deterioration with winding snake-like aorta, the uses of tomography-fluoroscopy fusion imaging in bioprosthetic aortic valve cracking, and more!
TAVI failure - Mechanisms and management
19 Nov 2023 – From PCR London Valves 2023
Explore various cases that focus on TAVI failure, including the effects of the mechanism of TAVR failure on outcomes after re-intervention, the prognostic impact of patient-prosthesis mismatch and paravalvular leak following TAVI, issues related to bioprosthetic valve dysfunction and much more!
TAVI in cardiogenic shock
19 Nov 2023 – From PCR London Valves 2023
Because TAVI implantation, a routine procedure, is not always a breeze, look at a number of challenging cases, including a case of aortic stenosis complicated by cardiogenic shock, an emergency valve-in-valve TAVI, or a TAVI for left ventricular assist device.
Coronary, structural and peripheral interventions
21 Sep 2023 – From AICT-AsiaPCR 2023
Explore the latest innovations in coronary, structural, and peripheral interventions in this session, from machine learning CT-FFR systems for severe aortic stenosis to the role of real-world data in enhancing cardiovascular care, and discover cutting-edge techniques like transpedal accesses for complex lesions and comprehensive valve sizing...
TAVI Insights: Addressing challenges and complex cases
21 Sep 2023 – From AICT-AsiaPCR 2023
In this session, explore the complexities of TAVR complications and learn about unique cases, including TAVI in patients with bicuspid aortic valves, coarctation of the aorta, and small annuli.
Percutaneous treatment of pure aortic regurgitation: a new indication
21 Sep 2023 – From AICT-AsiaPCR 2023
Analyse the case of an 83-year-old male patient with history of HT, parkinson's disease and minor stroke, who presented with worsening exertional SOB, LVEF 55-60 %, dilated LV, mild MR, and severe AR, and study the different options to treat aortic regurgitation.
Valve-in-valve - LIVE case
21 Sep 2023 – From AICT-AsiaPCR 2023
An 84-year-old man, with a history of 23 Carpentier-Edwards in 2004, PPM in 2013, AF on warfarin and impaired LV function (40 %), presented with severe symptomatic stenosis of the surgical bioprosthesis.
A 23 Navitor was implanted without predilatation and with post-dilatation under cerebral protection (Sentinel).
Closure was...
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!
Clinical outcomes after TAVI: Session 1
28 Nov 2022 – From PCR London Valves 2022
Consult this session to learn more about clinical outcomes after TAVI thanks to a selection of abstracts submitted during PCR LV 2022: definition of transcatheter heart valve orientation in bicuspid aortic valve with the DA VINCI study, TAVI with latest device iterations in patients with very...
TAVI challenges: session 3
28 Nov 2022 – From PCR London Valves 2022
View a radial access balloon aortic valvuloplasty adapting to the challenge of small arteries, a semi-inflated buddy balloon for percutaneous TAVR in severe calcified bicuspid aortic valve, and long-term outcome of TAVR in mucopolysaccharidosis type I-HS in this PCR LV 2022 session, among others!
Treatment of severe tricuspid regurgitation - Session with LIVE case
07 Oct 2022 – From AICT-AsiaPCR 2022
Watch the LIVE case management of an 84-year-old male patient, diabetic, hypertensive, with previous PCI on LAD and ICD, permanent AF, and exertional dyspnea for 6 months and learn more about severe tricuspid regurgitation pathology and treatment.
Lifetime management of patients with aortic stenosis
06 Oct 2022 – From AICT-AsiaPCR 2022
In this AICT-AsiaPCR 2022 session, review a ViV case to consider coronary occlusion and CT analysis, and examine a TAVI case to discuss failed TAVI bioprosthesis, so as to develop strategies for patients with AS and long-life expectancy.
TAVI in Asia-Pacific 2021: an update
08 Oct 2021 – From AICT-AsiaPCR 2021
Watch this session to be updated on the state of TAVI in 2021, especially in the Asia-Pacific Region, and learn more about the essential steps of TAVI procedure in a bicuspid valve.
Case-based learning for the Heart Valve Team: TAVI in failing surgical bioprostheses - Not always as easy as it looks
19 Nov 2019 – From PCR London Valves 2019
Consult this session to discover how an awareness of bioprosthetic valve characteristics is essential for valve-in-valve device selection and implantation, how careful preparation and peri-procedural imaging are essential to predict and prevent life-threatening complications, and learn key procedural tips and tricks for a safe and successful valve-in-valve TAVI procedure.
TAVI device selection for severe aortic stenosis - Session with LIVE case
18 Nov 2019 – From PCR London Valves 2019
Watch this session with a LIVE demonstration from University Hospital of Zurich (Zurich, Switzerland) to learn more about TAVI device selection and « Best practice » implantation of the Portico Valve.
Challenging cases in primary angioplasty - from the difficult to the unusual
05 Jul 2019 – From AICT-AsiaPCR 2019
Consult this session to discover challenging cases in primary angioplasty, and learn more about how to efficiently manage some of the complications encountered during this procedure, such as thrombus, no reflow, out of hospital cardiac arrest, and more!
Meaningful solutions for complex patients: IVUS HD guided left main bifurcation LIVE case and stroke prevention
05 Jul 2019 – From AICT-AsiaPCR 2019
Consult this session to gain insights and understand tools in complex lesion diagnosis and treatment using imaging guidance, and discover tips & tricks to efficiently perform a LM bifurcation stenting.
