
Vinayak Bapat
Latest contributions
Valve in valve in small degenerative surgical bioprosthesis - LIVE case
09 Feb 2025 – From PCR Tokyo Valves 2025
A 74-year-old female with a permanent pacemaker and preserved LV function presented with a symptomatic degenerative surgical valve (SJ Epic 21) implanted in 2016.
Patient underwent implantation of an Evolut FX 26 mm under general anesthesia with cerebral embolic protection and TEE guidance. A surgical valve fracture...

Lifetime management with self-expandable valve based on the latest evidence
09 Feb 2025 – From PCR Tokyo Valves 2025
Explore the latest evidence on the Evolut system and its impact on long-term valve durability in TAVR. Gain insights into its use for TAV-in-SAV procedures, the role of valve design in optimizing outcomes, and the importance of first-valve selection, commissure alignment, and coronary access.

Mastering TAV-in-SAV: strategies, challenges and advanced techniques
09 Feb 2025 – From PCR Tokyo Valves 2025
Want to master the ins and outs of TAV-in-SAV? Don’t miss these presentations!
You’ll get expert guidance on evaluating feasibility, choosing the right transcatheter valve and using advanced techniques (valve fracture, leaflet modification, coronary protection...). Plus, you'll dive into multiple real-world case presentations that tackle challenges, share...

TAV-in-TAV
08 Feb 2025 – From PCR Tokyo Valves 2025
Watch this PCR Tokyo Valves 2025 session on TAV-in-TAV to discover essential insights on optimizing the procedure. Learn how CT analysis and precise measurements are critical for success, and why coronary protection, chimney stenting, and leaflet modification must be considered in high-risk cases. Experts discuss key...

How to optimise clinical outcomes with the latest generation intra-annular self-expandable TAVI device?
08 Feb 2025 – From PCR Tokyo Valves 2025
Discover the latest advancements in TAVI procedures with this PCR Tokyo Valves 2025 session replay, where leading experts share key strategies to enhance patient outcomes. This session explores how to select the optimal index valve for lifetime management, reduce pacemaker rates with the latest intra-annular self-expanding...

Transcatheter options for degenerated surgical aortic valves - LIVE case
Recommended by PCR
08 Feb 2025 – From PCR Tokyo Valves 2025
A 77-year-old male with a history of SAVR in 2011 (Magna Ease 23) and moderate chronic kidney disease, with preservedLV function, presented with symptomatic severe aortic regurgitation and stenosis, associated with severe MR.
A Sapien 3 Ultra Resilia 23 valve was implanted under local anesthesia, with hemodynamic...

TAV-in-TAV for transcatheter heart valve failure
26 Nov 2024 – From PCR London Valves 2024
Struggling with transcatheter heart valve failure? Don’t miss this video!
Learn the essential steps for planning a re-do TAVI procedure, from analysing CT scans to using the re-do TAVI app for a TAV-in-TAV approach, and watch a real-life case of a 91-year-old patient undergoing a redo procedure...

New technology for transcather valve replacement - LIVE case
25 Nov 2024 – From PCR London Valves 2024
Watch a series of recorded cases showcasing advanced valve therapies and innovative techniques:
- A 70-year-old man with Marfan syndrome (treated by Bentall and CABG in 2012), impaired LV function (35%), CRT-D, and symptomatic severe primary MR (A2 prolapse with calcification) underwent implantation of an Intrepid valve under...

Mind the gap! - What's missing in the field of transcatheter valve interventions
25 Nov 2024 – From PCR London Valves 2024
Explore the key requirements for broadly adopting Transcatheter Mitral Valve Repair (TMVR), examine the challenges of Left Ventricular Outflow Tract Obstruction in Mitral Valve Replacement (MVR), and identify the additional tools needed for effective mitral valve repair. This session will provide a comprehensive assessment of the...

Nightmare in mitral valve interventions: sharing solutions together
18 Feb 2024 – From PCR Tokyo Valves 2024
This selection of cases showcase nightmare scenarios during mitral valve interventions. Find out what difficulties might arise during MitraClip procedure, and learn how to prevent complications through optimal treatments and bailouts.

CAD and TAVI
18 Feb 2024 – From PCR Tokyo Valves 2024
What is the clinical impact of CAD in TAVR recipients and how best to treat it? Through this session, gain insight on how to determine optimal CAD assessment in TAVR recipients, learn the timing of coronary revascularisation pre-TAVR, and understand the exact assessment and treatment of...

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...

Rapid-fire - Transcatheter interventions for tailed mitral valve prosthesis
18 Feb 2024 – From PCR Tokyo Valves 2024
This session of rapid-fire submitted cases focuses on transcatheter interventions for tailed mitral valve prosthesis. Learn about unusual solutions, such a reversed loop and parallel wiring to close crescent mitral paravalvular leak, base-to-tip LAMPOON and IABP during a successful mitral valve-in-valve, and more!

TAV-in-TAV interventions: a new frontier in TAVI
17 Feb 2024 – From PCR Tokyo Valves 2024
Explore the distinctions between TAV-in-TAV and TAV-in-SAV, learn more about the challenges posed by heterogeneity and variability in TAV redo procedures, gain insights into the unified terminology of TAV designs, and uncover how step-by-step CT analysis facilitates comprehensive assessments and post Redo-TAV solutions, drawing from detailed...

Valve-in-Valve
17 Feb 2024 – From PCR Tokyo Valves 2024
Discover various compelling cases of valve-in-valve interventions in this session: such as TAVI for a structural valve deterioration with winding snake-like aorta, the uses of tomography-fluoroscopy fusion imaging in bioprosthetic aortic valve cracking, and more!
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!
DurAVR as a potential valve of choice for future valve-in-valve procedure
06 Dec 2023 – From PCR London Valves 2023
In this expert interview, Vinayak Bapat interviews Anita Asgar regarding the challenges physicians are facing today with valve-in-valve patients and the potential use of DurAVR, a new balloon-expandable device, in valve-in-valve procedures.
This interview was filmed at PCR London Valves 2023: see more videos here.

How to anticipate, plan and perform a TAV-in-TAV?
25 Jan 2024 – From PCR London Valves 2023
By 2023, although TAVI has become a safe routine procedure, it is now its long-term durability and the planning of a second procedure, particularly in younger patients, that is causing concern.
Vinayak Bapat and Bernard Prendergast discuss how to anticipate any potential TAV-in-TAV, take into account any...

TAVI in complex scenarios - Valve-in-valve TAVI (TAV-in-SAV) - A tailored approach
20 Nov 2023 – From PCR London Valves 2023
This session is designed for those seeking an understanding of critical imaging principles in planning successful TAV-in-SAV procedures. Gain insights into the latest tools for pre-procedural imaging and learn how to develop customized algorithms for selecting transcatheter heart valves in individual patients undergoing TAV-in-SAV interventions.

Planning and execution of re-do TAVI (TAV-in-TAV) procedures
19 Nov 2023 – From PCR London Valves 2023
Redo TAVI poses challenges but can be managed with a step-by-step procedural plan, ensuring better acute and long-term outcomes. Guidelines and industry resources aid in planning, yet forthcoming registry studies are essential for further data and insights. Watch this session to find out more!

Second time TAVI (TAV-in-TAV) - Not as simple as it looks
19 Nov 2023 – From PCR London Valves 2023
Although it is still rare, TAV-in-TAV is likely to become more frequent, as TAVI is increasingly implanted in younger patients. Harmonizing data in this area will therefore help to improve outcomes, the quality of which depends on site experience, bearing in mind that for the time...

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.
My worst nightmare - Mitral valve intervention
18 Feb 2023 – From PCR Tokyo Valves 2023
Through the three challenging cases presented in this session, each presenting an access, leaflet and clip nightmare, learn about optimal bailout and prevention methods to deal with these rare complications that can occur during transcatheter mitral valve intervention.

Tricuspid valve interventions - All you need to know
18 Feb 2023 – From PCR Tokyo Valves 2023
Gain comprehensive insights into tricuspid valve interventions in this session. Understand patient selection, transcatheter solutions for tricuspid regurgitation, effective procedural imaging, and explore recorded cases of transcatheter tricuspid valve interventions, including replacement and repair options.
All you need to know before starting a mitral valve-in-valve or valve-in-ring procedure
29 Nov 2022 – From PCR London Valves 2022
Discover all you need to know before starting a mitral valve-in-valve or valve-in-ring procedure in this session: learn how to evaluate patients with an indication for these procedures, how to identify the risks and determine the choice of prosthesis, the different steps of the procedure using a transseptal approach, and...

Aortic stenosis and concomitant mitral valve disease
29 Nov 2022 – From PCR London Valves 2022
Consult these presentations to better understand how concomitant mitral valve disease influences clinical and procedural outcomes, to differentiate between patients with mitral valve disease that require concomitant therapy and those where conservative treatment is more appropriate and to gain insights into potential interventional options for this disease.

Mitral: new devices and procedural refinements
28 Nov 2022 – From PCR London Valves 2022
Consult this session to discover a selection of cases regarding mitral new devices: transapical mitral valve implantation for treatment of symptomatic mitral valve disease, transcatheter edge-to-edge mitral valve repair for atrial functional mitral regurgitation, and much more!

TMVR challenges
27 Nov 2022 – From PCR London Valves 2022
Challenges in this session of PCR LV 2022 include hybrid valve implantation for mitral annular calcification, transcatheter double-valve implantation complicated by mitral bioprosthesis migration, and transcatheter transseptal mitral valve implantation. Watch now to find out more!

A new focus on mitral and tricuspid valve disease
18 May 2022 – From EuroPCR 2022
Find out more about the need for transcatheter replacement in the atrioventricular valves and the Intrepid programme, the potential of transvenous transseptal versus transapical access to the mitral valve, and the future of transvenous tricuspid valve replacement in this EuroPCR 2022 session.

TAVI durability: important considerations for patient lifetime management
18 May 2022 – From EuroPCR 2022
