Suraj Narasimhan
Latest contributions
Best companion's cases on orbital atherectomy
22 May 2025 – From EuroPCR 2025
Dive into advanced cases demonstrating orbital atherectomy techniques for managing challenging calcified coronary lesions. This session includes innovative approaches such as 'sand and knock' calcium modification, orbital atherectomy in complex anatomies, and the use of optical coherence tomography to guide percutaneous treatment of calcified nodules.

Iatrogenic causes for shock treated with LV support
21 May 2025 – From EuroPCR 2025
Explore the management of iatrogenic causes of cardiogenic shock requiring left ventricular support. This session presents complex cases including shock following Bentall procedures, complications during anesthesia induction in bypass surgery, and strategic approaches to prevent and manage these critical scenarios using LV support devices.

TAVI for aortic regurgitation: on-label and off-label use
21 May 2025 – From EuroPCR 2025
This session reviews on-label and off-label applications of transcatheter aortic valve implantation (TAVI) for treating aortic regurgitation. Examine complex cases including TAVI in patients with aortic dissection, cardiogenic shock, and valve-in-valve interventions, highlighting innovative procedural approaches and bailout strategies.

Transcatheter management of structural defects
20 May 2025 – From EuroPCR 2025
Explore the transcatheter management of structural cardiac defects with challenging clinical scenarios including ventricular septal ruptures and post-TAVI complications. This session emphasizes multidisciplinary approaches and strategic planning to avert catastrophic outcomes and optimize patient care.

PCI in cardiogenic shock without left ventricular support
20 May 2025 – From EuroPCR 2025
Explore PCI strategies in cardiogenic shock without left ventricular support through challenging cases including STEMI with single patent vessels, balancing procedural and resource considerations, spontaneous coronary dissections with arrhythmia, and use of crush techniques to rescue critically ill patients.

Featured cases - Non-transfemoral TAVI access
26 Nov 2024 – From PCR London Valves 2024
Delve into this session showcasing a range of non-transfemoral TAVI access techniques from PCR London Valves 2024. Discover alternative approaches such as transiliac, transsubclavian, and transcaval access, employed to overcome complex anatomical challenges. Learn how to navigate tortuous vasculature, snare-assisted TAVR, and transform access when traditional...

Featured cases - TAVI in bicuspid valve anatomy (Part 2)
26 Nov 2024 – From PCR London Valves 2024
This session, part of the Featured Cases series from PCR London Valves 2024, focuses on TAVI in bicuspid valve anatomy. Dive into various complex cases, including TAVI in bicuspid type 0 with severe calcification, tailored sizing strategies in bicuspid aortic valve, and the utility of novel...

Rapid-Fire - TAVI Complications (Part 2)
25 Nov 2024 – From PCR London Valves 2024
Delve into the world of transcatheter aortic valve implantation (TAVI) complications in this rapid-fire session from PCR London Valves 2024. Witness captivating case studies that highlight the challenges and resolutions encountered during TAVI procedures. From anemia-induced valve thrombosis to acute aortic regurgitation during balloon expansion, this...

Featured cases - TAVI in bicuspid valve anatomy (Part 1)
24 Nov 2024 – From PCR London Valves 2024
Explore a unique collection of featured TAVI cases in bicuspid valve anatomy. Witness the successful navigation of complex scenarios, including the treatment of severely calcified bicuspid valves, handling of extreme annular dimensions, and the utilization of specialized techniques like antegrade transseptal TAVI. Gain insights that can...

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...

Rapid-fire - TAVI in aortic regurgitation
24 Nov 2024 – From PCR London Valves 2024
Prepare to be captivated by a rapid-fire session showcasing selected PCR London Valves 2024 clinical cases on TAVI in aortic regurgitation. Witness the first-in-man deployment of the Abbott Navitor Valve for left ventricular assist device-associated aortic regurgitation, as well as cases involving severe aortic regurgitation in...

Featured cases - Mitral valve-in-valve (Part 1)
24 Nov 2024 – From PCR London Valves 2024
Immerse yourself in a collection of captivating clinical cases focused on mitral valve-in-valve procedures. Learn from experienced practitioners as they share their approaches to addressing complex challenges, such as paravalvular leaks, difficult anatomies, and innovative techniques.

Management of PCI complications - Part 2
17 May 2024 – From EuroPCR 2024
This session focuses on the management of various PCI complications, including iatrogenic dissection after diagnostic coronary angiography, sinus node artery occlusion, a stuck 6F guide in the axillary artery, and the retrieval of a broken balloon. The session features a series of case presentations and discussions,...

Acute coronary syndromes: keep an eye open for unusual presentations
17 May 2024 – From EuroPCR 2024
This session features selected EuroPCR 2024 clinical case submissions highlighting unusual presentations of acute coronary syndromes. Cases cover topics such as a "ring" completing the "crown", recurrent vasospastic angina culminating in STEMI, myocardial infarction of unusual cause, and primary PCI in dextrocardia. Discussions emphasize the importance...

Endovascular management for aortic arch aneurysm
16 May 2024 – From EuroPCR 2024
This session showcases a series of complex clinical cases highlighting the endovascular management of aortic arch aneurysms. Attendees will witness scenarios involving hybrid aortic arch debranching with thoracic endovascular aortic repair, the use of fenestrated aortic arch stent grafts, techniques for left subclavian artery preservation, and...

Endovascular treatment for acute chronic heart failure
14 May 2024 – From EuroPCR 2024
This session comprises a selection of complex endovascular cases for the treatment of acute chronic heart failure, including the use of 3D printing and virtual reality to close a pulmonary arteriovenous malformation, closure of a post-septal myectomy ventricular septal defect, and catheter-based treatment of a heart...

Mitral TEER challenges and complications
14 May 2024 – From EuroPCR 2024
This session will feature a series of selected clinical case submissions from EuroPCR 2024, highlighting the challenges and complications associated with mitral transcatheter edge-to-edge repair (TEER) procedures. Attendees will have the opportunity to engage in discussions and learn from the experiences shared by the presenters, covering...

Rapid-fire - TAVI complications - Part 3
21 Nov 2023 – From PCR London Valves 2023
In this session, delve into challenging scenarios and complications associated with TAVI: navigate the complexities of deploying a balloon-expandable valve in the supra-annular position within severely calcified bicuspid 1B anatomy, discover a case of near-catastrophic annular rupture during TAVI, explore the early days of TAVI in...

Valve in valve - Pulmonary - Part 3
21 Nov 2023 – From PCR London Valves 2023
Explore a selection of pulmonary valve-in-valve cases, showcasing transcatheter management of recurrent severe pulmonary regurgitation, a rare intervention for calcified bioprosthetic pulmonary valve leaflets, and strategic approaches to early valve degeneration.

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...

TAVI in patients with coronary artery disease
20 Nov 2023 – From PCR London Valves 2023
Consult this session for a swift overview of navigating TAVI complexities in the presence of coronary artery disease: navigate through cases involving the management of severe aortic stenosis coupled with stable severe coronary artery disease, explore scenarios where valvular and coronary calcium present challenges, witness successful treatment...

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!

Complications of mitral valve interventions
19 Nov 2023 – From PCR London Valves 2023
Learn more about the complexities of mitral valve interventions with this selection of cases: witness the challenges posed by clip embolisation during Mitral TEER, delve into the scenario of SAM following TMVI leading to left ventricular outflow tract obstruction, explore the closure of an iatrogenic ASD...

TAVI: Challenging clinical scenario
21 Nov 2021 – From PCR London Valves 2021
Learn in this PCR London Valves 2021 session about unusual TAVI cases and the innovative techniques used to treat them: echo-fluoro fusion to guide prosthetic valve leaflet laceration pre-transcatheter AVR, novel advanced augmented reality imaging in high-end transcatheter interventions, transthoracic echo-guided zero-contrast TAVR, and more!
