Suraj Narasimhan
Latest contributions
Complications of mitral TEER
18 Nov 2025 – From PCR London Valves 2025
This session addresses complications associated with mitral transcatheter edge-to-edge repair (TEER), showcasing innovative bailout methods such as snare-assisted retrieval of undeployed devices, managing leaflet perforations with latest-generation devices, cases of valve-adjacent tears, mechanical support considerations when pumps fail, and the clinical impact of iatrogenic fossa ovalis...
TAVI: alternative access
17 Nov 2025 – From PCR London Valves 2025
This session addresses alternative access routes for TAVI in patients with challenging vascular anatomies. It includes innovative approaches such as transapical TAV-in-TAV procedures, transcaval implantation in emergency settings, and techniques for patients with hostile iliofemoral access, showcasing adaptive strategies when conventional access is not feasible.
Paravalvular leak closure - Part 2
17 Nov 2025 – From PCR London Valves 2025
This session is dedicated to paravalvular leak (PVL) closure techniques, featuring percutaneous approaches after surgical valve implantation and TAVI complications such as annulus rupture. It includes advanced management using multiple plugs for long-tunnel mitral PVLs, innovative transformation from pop-up to plug strategies, and transapical approaches following...
TAVI: high coronary risk - Part 2
17 Nov 2025 – From PCR London Valves 2025
This session addresses the challenges and solutions related to high coronary risk in TAVI procedures. Topics include advanced coronary protection strategies, innovative approaches to complex valve-in-valve interventions, the benefits of balloon-assisted techniques, management of right coronary cusp obstruction through UNICORN technology, and prevention of sinus sequestration...
TAVI in aortic regurgitation - Part 2
17 Nov 2025 – From PCR London Valves 2025
This session focuses on transcatheter aortic valve implantation in the setting of aortic regurgitation, a challenging clinical entity. It features novel techniques such as pump-assisted deployment and the use of deflectable self-expanding systems, as well as management of patients with prior valve-sparing aortic root surgery and...
Curious TAVI scenarios - Part 1
16 Nov 2025 – From PCR London Valves 2025
This session presents a series of challenging and unusual TAVI cases, addressing complex scenarios such as persistent gradients after valve-in-valve procedures, advanced sealing techniques for nodules, innovative snare methods, emergency TAVI following diagnostic catheterisation, combined aortic valve and aorta interventions, and the crucial role of echocardiography...
Mitral valve-in-valve: high-left ventricular outflow tract obstruction risk
16 Nov 2025 – From PCR London Valves 2025
This session focuses on the management of high-risk left ventricular outflow tract (LVOT) obstruction in mitral valve-in-valve procedures. It discusses innovative approaches such as the tip-to-base LAMPOON procedure to mitigate obstruction risk, techniques for cutting obstructive tissue, and combined strategies involving sentinel-protected submitral aneurysm closure and...
TAVI: high coronary risk
16 Nov 2025 – From PCR London Valves 2025
This session addresses the complexities and innovative approaches to managing high coronary risk during TAVI procedures. It features advanced techniques such as the double chimney-stent method, valve-in-valve strategies to prevent coronary obstruction, and challenging cases involving TAVI-in-TAVI. These insights provide practical guidance for interventionalists navigating high-risk...
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.
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.
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.
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...
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...
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...
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 - 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 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 - 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...
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...
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...
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!
