Shinichi Shirai
Latest contributions
Innovation to address unmet clinical needs in transcatheter valve therapies
22 May 2025 – From EuroPCR 2025
Discover innovations addressing unmet clinical needs in transcatheter valve therapies. This session shares case-based experiences including young aortic stenosis patients, mitral regurgitation with annular calcification, and severe tricuspid regurgitation with right ventricular dysfunction, alongside the latest advances in TAVI, TMVR, and tricuspid interventions.
Remaining unmet needs and strategies in TAVI
19 Feb 2023 – From PCR Tokyo Valves 2023
This session focuses on valve design and durability performance in TAVI for patients with aortic stenosis, and the way it impacts future patient outcomes.
Challenging case in mitral valve intervention
19 Feb 2023 – From PCR Tokyo Valves 2023
Consult this session to discover challenging mitral valve cases. Learn to anticipate challenging anatomy, determine optimal timing for MitraClip, and witness changes in degenerative and functional mitral regurgitation procedures.
PCR Tokyo Valves 2023 Closing Ceremony
19 Feb 2023 – From PCR Tokyo Valves 2023
This closing ceremony of the 2023 edition of the PCR Tokyo Valves is the occasion to unveil the results of the best abstract and best case competitions and to congratulate the finalists. It is also the moment to take stock of this excellent edition, to thank...
Transcatheter repair for complex degenerative mitral regurgitation - LIVE case
18 Feb 2023 – From PCR Tokyo Valves 2023
An 83-year-old female with chronic kidney disease, RBBB, has severe mitral regurgitation due to P2 prolapse and preserved LV function (69 %).
The operators decide to implant 1 XTW clip, guided by TEE and left atrial pressure.
LIVE Case from Kokura Memorial Hospital Kitakyushu, Japan
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TAVI in a patient with heavily calcified valve anatomy - LIVE case
18 Feb 2023 – From PCR Tokyo Valves 2023
An 80-year-old male with chronic kidney disease and interstitial pneumonia treated under steroids presented a symptomatic severe aortic stenosis with massive calcifications on the valves and only on the valves (not the LVOT).
Watch the operators implant a Sapien 3 23 mm (-1cc) with a predilatation (Balloon...
TAVI with advanced imaging techniques - LIVE case
18 Feb 2023 – From PCR Tokyo Valves 2023
A 93-year-old female, with chronic kidney disease (GFR:34), diabetes, first degree AV block, present a symptomatic severe calcified aortic stenosis. Watch the operators as they implant an Evolut pro 26mm, guided by ICE in order to check the position of the distal part of the valve with...
The importance of hemodynamic performance in transcatheter aortic valves
04 Jul 2022
Watch the 1st of #PCRtokyo 2022’s six live webinars about ‘The importance of hemodynamic performance in transcatheter aortic valves’.
Why durability matters: lifetime management considerations for supra-annular TAVR
26 Sep 2021 – From PCR Tokyo Valves 2021
In this session, the speakers address the problem of the evolution of clinical data for TAVI from extreme to low risk based on a number of studies on the subject, such as CoreValve Pivotal Study, Partner Study, SURTAVI Study, or Evolut Low-Risk Study, and then focus...
Contemporary procedural practice for TAVI
25 Sep 2021 – From PCR Tokyo Valves 2021
Watch this session to learn more about contemporary procedural practice for TAVI: discover the impact of the COVID-19 pandemic on TAVI programmes worldwide, the steps of contemporary transfemoral TAVI with tips and tricks, as well as the rules for early discharge post TAVI.
Planning for the Future: Lifetime Management Considerations for TAVI Patients
23 Sep 2021 – From PCR Tokyo Valves 2021
By establishing a constant parallel between the situation in the United States and that in Japan, based on data collected daily, Jeffrey Popma and Shinichi Shirai provide current insights into the use of the soft expanding supra-annular evolution platform. In particular, they address the question of which patient...
Strategies to handle complications during interventions for structural heart disease: my worst nightmare - Part 1
16 Feb 2020 – From PCR Tokyo Valves 2020
Consult this session to learn all about how to handle and avoid complications during interventions for structural heart disease, such as TAVI valve emboli, intra-aortic balloon occlusion, mitral leaflet tear, and more!
Beyond the evolution! Latest image guided therapy for structural heart disease intervention 2.0 era
16 Feb 2020 – From PCR Tokyo Valves 2020
Consult this session in japanese to learn more about EchoNavigator, an innovative tool for guidance of interventional procedures in structural heart disease, and discover how it may help you achieve a better patient outcome.
MitraClip case in point in Japanese
16 Feb 2020 – From PCR Tokyo Valves 2020
Find out more on the MitraClip NT System Japan post market surveillance, the MitraClip best practice and challenging functional MR cases...
Abstracts in Japanese
15 Feb 2020 – From PCR Tokyo Valves 2020
Consult this session to discover a selection of abstracts submitted during PCR Tokyo Valves 2020, such as: impact of beta blockers on patients undergoing TAVR, predictive factors of no symptomatic improvement after TAVI, and more!
Sizes, wires, and other innovations in TAVI technique and technology
15 Feb 2020 – From PCR Tokyo Valves 2020
Consult this session on innovations in TAVI technique and technology to learn more about new self-expanding TAVR valve sizes and TAVR wires, emerging developments in self-expandable TAVR implant best practices, and discover how to utilize these new technologies and techniques to achieve the best possible outcomes for AS patients.
Stroke Prevention Day - PFO
14 Feb 2020 – From PCR Tokyo Valves 2020
Consult this session to learn how to build a stroke prevention team, what are the indications and pre-procedural screening of PFO closure, and discover the step-by-step procedure of PFO closure thanks to a selection of cases and studies.
Complications of TAVI
17 Feb 2019 – From PCR Tokyo Valves 2019
Consult this session to learn more about how to identify which patients are high risks for complication, how to use imaging in procedural planning, and how to treat TAVI related complications (valve embolization, paravalvular leak, and more!).
Most interesting novel devices for the treatment of valvular heart disease
17 Feb 2019 – From PCR Tokyo Valves 2019
Consult this session to learn more about innovative perspectives for the interventional treatment of valvular heart disease, and discover some new devices which may truly impact your practice of transcatheter valve therapies in the future.
Simplified self expandable TAVI implantation for predictable, repeatable outcomes
17 Feb 2019 – From PCR Tokyo Valves 2019
Consult this session to learn more about how to simplify Evolut implantation procedure, and discover some new Evolut implantation techniques.
Lessons from OCEAN registry
16 Feb 2019 – From PCR Tokyo Valves 2019
Consult this session to learn more about the current status and future perspectives of the OCEAN-TAVI registry, as well as the differences between European and Japanese anatomies.
Hot topics in the pharmacologic treatment after TAVI – Current concepts
16 Feb 2019 – From PCR Tokyo Valves 2019
Consult this session to learn more about the risk of valve thrombosis, thrombo-embolic and bleeding events after TAVI and the rationale of antithrombotic treatment regimens in atrial fibrillation patients post TAVI.
Most challenging cases with SAPIEN3 Vol I – access, anatomy and heart function
16 Feb 2019 – From PCR Tokyo Valves 2019
Consult this session to discover challenging cases with SAPIEN3, including horizontal aorta, low laying coronaries and low ejection fraction.
TAVI in a type 0 bicuspid aortic valve with low lying LM
16 Feb 2019 – From PCR Tokyo Valves 2019
Consult this session with LIVE demonstration from ICPS - Massy, France on a 61-year-old female with bicuspid aortic valve stenosis.
Clinical presentation:
- Femoral puncture with angio guidance
- Stimulation by LV wire
- Sapien 3 valve implanted
TAVI and other structural interventions
16 Feb 2019 – From PCR Tokyo Valves 2019
Consult this session to discover various TAVI and other structural interventions cases and studies, and learn more about the role of procedural simulation with patient-specific 3D-printed aortic root models, the prognostic value of tricuspid valve geometry and leaflet coaptation status in patients undergoing tricuspid annuloplasty, and more!
