Shinichi Shirai
Latest contributions
Nightmare in mitral valve intervention
09 Feb 2025 – From PCR Tokyo Valves 2025
Mitral interventions don’t always go as planned: learn how to navigate complex challenges, manage complications and optimize outcomes with this session!
You'll discover real-world cases (isolated PMVL prolapse treated with PASCAL, recurrent MR post-repair with the BATMAN procedure and edge-to-edge repair for primary MR with posterior MAC),...

Standardised implant technique with self-expandable valve
08 Feb 2025 – From PCR Tokyo Valves 2025
Don’t miss this PCR Tokyo Valves 2025 session replay, where leading experts share key techniques for simplifying and optimising TAVI procedures with the Evolut device. This session covers essential insights into safely performing procedures on patients with various anatomical types using the self-expandable valve, while emphasising...

Nightmare in TAVI
08 Feb 2025 – From PCR Tokyo Valves 2025
Watch this session replay featuring two challenging cases: valve embolisation with a balloon-expandable valve and coronary obstruction with a self-expandable valve. Learn key lessons from the first case, including the importance of secure pacing, avoiding damage to the descending aorta while retrieving the embolised valve, and...

TAVI in small annulus - LIVE case
08 Feb 2025 – From PCR Tokyo Valves 2025
A 79-year-old female with CAD (stenosis in the mid-LAD), asthma, and diabetes presented with symptomatic severe aortic stenosis. Left ventricular function was preserved, with an annulus measuring 355 mm², and the valves were heavily calcified.
A Navitor Vision valve was implanted with predilatation (18 mm balloon) under...

TAVI indications: real dilemmas
16 May 2024 – From EuroPCR 2024
This session comprises selected clinical case submissions that explore real-world dilemmas and challenges faced by interventional cardiologists in TAVI procedures. Participants will delve into discussions on topics such as left bundle branch area pacing after TAVR, challenges in TAVI, simultaneous CardioFlow Optimisation, coronary access post-TAVI, complex...

Contemporary techniques for TAV-in-SAV interventions
18 Feb 2024 – From PCR Tokyo Valves 2024
Thanks to this session, take a look at the current outcomes of TAV-in-SAV, analyse the different types of valves and their fracturability, find out more, through case studies, about two different TAV-in-SAV techniques, with or without a stent, and learn how to avoid patient prosthesis mismatch...

New possibilities in TEER
18 Feb 2024 – From PCR Tokyo Valves 2024
Watch this session to get an overview of a new TEER device, follow the step-by-step procedure related to initial experiences with this device for a Japanese patient with degenerative mitral regurgitation, learn about the latest data from RCT and registries, and follow discussions of challenging TEER...

Learn the evidence - Lifetime management of aortic stenosis therapy with self-expandable valve
17 Feb 2024 – From PCR Tokyo Valves 2024
In this dedicated session on aortic stenosis management, gain insights into interpreting the 10-year outcomes of the NOTION trial, the 4-year outcomes of the Evolut Low Risk trial, and the key findings from the CANNULATE TAVR study, and discuss the issue of long-term device durability, draw comparisons...

Structural heart disease care: innovations, teamwork, and patient focus
17 Feb 2024 – From PCR Tokyo Valves 2024
Delivered in Japanese, this session highlights the latest advances in structural heart disease treatment and diagnostics. Learn to understand effective interprofessional collaboration and find out more about patient-centered care excellence!
Selection of the 2024 best clinical cases
17 Feb 2024 – From PCR Tokyo Valves 2024
Explore the most outstanding clinical cases from PCR Tokyo Valves 2024, including a nightmare case with bicuspid aortic valve, pharmaco-invasive management of mechanical valve thrombus with cardiogenic shock, and a TAVR-in-TAVR challenge.
Complex diagnosis
17 Feb 2024 – From PCR Tokyo Valves 2024
Gain valuable insights in how to deal with complex diagnoses in this session of rapid-fire submissions cases [in Japanese].
Mastering techniques from basic to complex - Complex scenarios
16 Feb 2024 – From PCR Tokyo Valves 2024
Learn how to deal with common complex scenarios that might occur during TAVI through this teaching session. Explore complex scenarios such as a balloon valve modification and fracture, valve embolisation, and coronary occlusion through these slides!