Thomas Hovasse

Thomas Hovasse

Interventional cardiologist / Cardiologist
Cardiovascular Institute Paris Sud (ICPS) - Massy, France

Latest contributions

Left main and complex bifurcation stenting

21 May 2026 – From EuroPCR 2026

This focused session explores optimal strategies for treating left main and complex bifurcation coronary lesions, a setting that remains both anatomically and technically demanding.

It highlights the role of intracoronary imaging in refining procedural planning and optimising stenting strategy and technique. The discussion also reviews the mechanical...

Left main and complex bifurcation stenting

CTO ADVANCED Level I: LIVE Educational Cases from Institut Cardiovasculaire Paris Sud, France & University Hospital Basel, Switzerland

21 May 2026 – From EuroPCR 2026

This advanced level I CTO session features live educational cases from Institut Cardiovasculaire Paris Sud and University Hospital Basel, focusing on structured procedure analysis, imaging-based planning, and integrated CTO techniques. Detailed case presentations and live procedural demonstrations underscore strategies for success in complex CTO interventions.

How to safely perform a retrograde CTO PCI: step-by-step guidance

20 May 2026 – From EuroPCR 2026

This session offers step-by-step guidance on safely performing retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI). It covers the fundamentals of retrograde setup and collateral crossing, execution of a controlled reverse CART technique, and addresses common pitfalls with practical tips to improve procedural success and...

From data to decisions: calm and structured approaches to high pressure PCI

19 May 2026 – From EuroPCR 2026

Addressing high-pressure scenarios in the cath lab, this session explores calm and structured decision-making approaches for unusual and challenging PCI cases. It emphasizes optimizing management of life-threatening complications through real-time strategies and illustrative case discussions.

CTO track: EuroPCR 2026 highlights

20 May 2026 – From EuroPCR 2026

Thomas Hovasse speaks with Kambis Mashayekhi about the first dedicated CTO track introduced at EuroPCR 2026.

With chronic total occlusion (CTO) interventions increasingly performed, the need for structured education is growing. This trend reflects an ageing patient population, more surgical turndowns, and a rising number of post-CABG cases, leading...

CTO track: EuroPCR 2026 highlights

Featured research - TAVI - Part 13

18 Nov 2025 – From PCR London Valves 2025

This session delves into key clinical and procedural advances in TAVI, including the randomized PAF-TAVI trial assessing amiodarone for preventing post-TAVI atrial fibrillation, cost comparisons of balloon-expandable tissue preservation valves versus other devices, leaflet modification methods to reduce coronary obstruction risk, optimization techniques for valve-in-valve TAVI...

Best clinical cases & Early Career Research Award

17 Nov 2025 – From PCR London Valves 2025

Explore a series of innovative clinical cases highlighting the integration of advanced expertise and AI in managing complex structural heart interventions. This session includes compelling cases such as the use of ANCHOR BASILICA to prevent coronary obstruction, the Lithotripsy-BATMAN technique for mitral valve interventions in calcified...

Best clinical cases & Early Career Research Award

Hotline - Valvular and structural interventions

16 Nov 2025 – From PCR London Valves 2025

This session presents pivotal advances in valvular and structural heart interventions, covering the SMART-MV trial on mitral valvotomy safety, outcomes of TAVR patients with tricuspid regurgitation undergoing TEER, and the application of the FLOWer embolic protection system across structural heart procedures. Additionally, it explores the impact...

TAVI for bioprosthetic valve failure - LIVE Case

22 May 2025 – From EuroPCR 2025

A 68-year-old male patient with a history of Sapien 3 26 mm TAVI (2021), complicated by the need for two valves (one displaced in the descending aorta) and permanent pacemaker implantation, as well as endocarditis (2022), presented with symptomatic bioprosthesis failure and reduced LV function (20...

TAVI for bioprosthetic valve failure - LIVE Case

Hostile access for TAVI procedure

21 May 2025 – From EuroPCR 2025

This session addresses the challenges of hostile vascular access in TAVI procedures. Learn to identify difficult access sites through pre-operative imaging, explore alternative approaches such as axillary access, techniques to overcome iliac access difficulties, and management of peri- and post-operative complications by vascular surgeons.

Hostile access for TAVI procedure

Strategies in treating double CTO scenarios

21 May 2025 – From EuroPCR 2025

Navigate complex double chronic total occlusion (CTO) scenarios with this session that emphasizes thorough lesion qualification and innovative techniques. Learn strategies including management of ambiguous proximal caps, sequential vessel revascularization, and advanced tools like snaring and deflection to optimize procedural success.

Strategies in treating double CTO scenarios

Integrative step-by-step approach to perform successful CTO interventions: from angiographic evaluation to strategy selection

20 May 2025 – From EuroPCR 2025

Master the integrative step-by-step approach to successful chronic total occlusion (CTO) interventions. This session emphasizes systematic angiographic evaluation and strategy selection ranging from simple to complex techniques, supplemented by blinded case discussions for practical learning.

Integrative step-by-step approach to perform successful CTO interventions: from angiographic evaluation to strategy selection

How to successfully approach CTO interventions: a step-by-step approach

22 Oct 2025 – From EuroPCR 2025

Elliot Smith, Thomas Hovasse and Roberto Garbo discuss a comprehensive, step-by-step approach to CTO interventions, providing structured guidance on navigating CTOs in a safe and effective way.

The discussion begins with angiographic assessment, emphasising the importance of identifying key anatomical features upfront. Based on this evaluation, operators determine...

How to successfully approach CTO interventions: a step-by-step approach

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 - Non-transfemoral TAVI access

Non-transfemoral TAVI - The toolkit

25 Nov 2024 – From PCR London Valves 2024

When should you consider alternative access for TAVI instead of the transfemoral route? This video dives right into the different non-transfemoral approaches, from transsubclavian to transcaval, and explains when each technique is most appropriate.

Learn how vascular modification can expand access options for more patients and discover...

Non-transfemoral TAVI - The toolkit

Coronary issues before, during and after TAVI

16 May 2024 – From EuroPCR 2024

This session presents a series of challenging clinical cases highlighting the complex interplay between coronary artery disease and transcatheter aortic valve implantation (TAVI). Attendees will witness real-world scenarios, including high-risk PCI with concomitant severe aortic stenosis, the management of degenerated aortic bioprostheses with the risk of...

Coronary issues before, during and after TAVI

Left main and complex bifurcation stenting

14 May 2024 – From EuroPCR 2024

Watch this session focused on a patient with distal left main stenosis to understand that the stepwise provisional side branch (SB) stenting strategy is the standard approach for most left main trifurcation lesions. Discover the importance of optical frequency domain imaging for strategy determination and bifurcation...

Left main and complex bifurcation stenting

Calcified distal left main stenosis - LIVE case

18 May 2023 – From EuroPCR 2023

Watch the case of a 62-year-old non-diabetic male patient with history of stroke and peripheral artery disease, normal ECG and left ventricular function, referred for CT scan and angiography. He presented with calcified distal LM stenosis and calcified proximal LAD stenosis.

Provisional left main stenting was performed,...

Calcified distal left main stenosis - LIVE case

Transcatheter bicuspid valve replacement: LIVE Case from Institut Cardiovasculaire Paris Sud, Massy - France

18 May 2023 – From EuroPCR 2023

Discover tips for TAVI and analyse CT findings to optimise procedural outcomes in bicuspid anatomy.

Transcatheter bicuspid valve replacement: LIVE Case from Institut Cardiovasculaire Paris Sud, Massy - France

Hostile vascular access for large catheters

17 May 2023 – From EuroPCR 2023

This case-based session will help you learn how to better manage ilio-vascular complications, either by radial or femoral access, and learn more about how to use your peripheral toolbox.

Hostile vascular access for large catheters

TAVI in a patient with bicuspid anatomy

19 May 2022 – From EuroPCR 2022

How to perform TAVI in a patient with bicuspid anatomy? Watch this case LIVE from Massy, France, to try to get answers to key issues: sizing, implantation technique, valve choice, and lifetime management.

TAVI in a patient with bicuspid anatomy

Transradial approach, from complex PCI to peripheral intervention

19 May 2022 – From EUROPCR 2022

Watch this session if you want to demonstrate how to optimise challenging coronary and peripheral cases using dedicated devices in transradial approach, to appreciate the value of transradial approach for complex PCI and carotid artery stenting and to acknowledge Ultimaster DES results in high bleeding risk patient...

Transradial approach, from complex PCI to peripheral intervention

How to manage coronary artery complications after TAVI

17 May 2022 – From EuroPCR 2022

Watch these videos to learn more about the management of coronary artery complications after TAVI, such as: annular rupture, coronary occlusion, hemodynamic instability, STEMI and more!

How to manage coronary artery complications after TAVI

Complex bifurcation PCI: what to avoid?

18 May 2021 – From EuroPCR 2021

Watch this session presented by Goran Stankovic, Bernard Chevalier, Antoinette Neylon, Thierry Lefèvre and Thomas Hovasse in order to understand the best treatment options for patients presenting with complex bifurcation lesion, to learn how to optimise both strategy and technique, and to share a benchtop simulation of...

Complex bifurcation PCI: what to avoid?

TAVI in a bicuspid aortic valve

24 May 2019 – From EuroPCR 2019