25 Sep 2017
Case-based learning for the Heart Valve Team: imaging for aortic valve intervention
LIVE case: a transfemoral TAVI in bicuspid valve
From ASIAPCR/SINGLIVE 2017
Consult this LIVE case on a TF TAVI in bicuspid valve, which includes a LIVE demonstration from Queen Elizabeth Hospital - Hong Kong.
A 82-year-old female with an bicuspid aortic valve stenosis:Cerebral protection devicePre-dilatationPressure, TEE, angio assessments
TAVI: Parallel suture technique in vivo
The aim of this study published in EuroIntervention was to evaluate vascular complications using the “parallel suture technique” in patients receiving an Edwards SAPIEN XT (SXT) or SAPIEN S3 (S3) transcatheter heart valve (THV).
First in human implantation of a novel transfemoral self-expanding transcatheter heart valve to treat pure aortic regurgitation
The first case of a novel JenaValve design using the transfemoral approach in a 78 year old female patient with pure aortic regurgitation is described in this article.
First FIM Percutaneously Implanted Heart Valve (PHV) implantation on 16 April, 2002
On April 16, 2002, at the Charles Nicolle University Hospital in Rouen, France, the Interventional Cardiologist, Professor Alain Cribier performed the first transcatheter aortic valve replacement procedure in the world. He used a Prosthetic valve thrombosis (PVT) percutaneous heart valve.
SPOTLIGHT: Standardised definitions for clinical and imaging endpoints after surgical and transcatheter valve intervention
In this presentation from PCR London Valves 2017, A. Baumbach, D. Capodanno, A. Lansky, M.B. Leon and N. Piazza focus on the durability, structural deterioration and valve failure, the neurological adverse events and on what really matters in clinical and patient-reported endpoints after surgical and transcatheter valve interventions.
Emergency left main PCI with ‘chimney technique’ to treat coronary artery occlusion after valve-in-valve TAVI
A 77 y/o gentleman with previous aortic valve replacement was referred to our unit to undergo valve-in-valve TAVI for symptomatic bioprosthesis degeneration. His surgical risk was deemed prohibitive due to an infiltrating bowel carcinoma awaiting for surgery…
Going beyond boundaries in structural heart interventions?
25 Sep 2017 - From PCR LONDON VALVES 2017
Chairpersons: M.B. Leon, F. Maisano, A. Vahanian
Objectives: To gain perspective from thought leaders on how the cathlab will evolve over the next 5-10 years, to participate to a unique discussion on the evolution of structural heart interventions, to learn the preferred strategy for combined cardiac diseases: while a staged approach may represent a preferable strategy in selected patients, concomitant treatment of combined cardiac diseases represents an appealing option in a majority of patients.
TAVI in difficult anatomy
26 Sep 2017 – From PCR London Valves 2017
Consult a selection of 6 cases to learn how to perform TAVI in difficult anatomy, in particular:
- Left ventricular outflow tract decalcification prior to TAVI: a simple way to prevent paravalvular leakage and mechanical complications
- Is contrast-enhanced CT necessary for emergent balloon aortic valvuloplasty
- Riding through twisty roads: Evolut R crossing a severely tortuous and calcified aorta
A new era in TAVI: key recommendations from the 2017 ESC/EACTS Guidelines for the Management of Valvular Heart Disease
17 Oct 2017 - From PCR LONDON VALVES 2017
Bernard Prendergast, UK, shares key recommendations from the 2017 ESC/EACTS Guidelines for the Management of Valvular Heart Disease, amongst them the continued endorsement of the practice of the Heart Team, new international randomised controlled trials demonstrating the effectiveness of TAVI in intermediate-risk patients, and long-term follow-up of these patients to be shared by all members of the Heart Team.
TAVI is now a mature technology that will become the dominant treatment for aortic stenosis in the very near future, and will require a change in the patient referral pathway from cardiac surgeon to cardiologist. It will also pose a challenge: as the number of patients eligible for TAVI is set to triple to quadruple within the next 5 years, programmes already saturated in many centres will be under pressure, and extended training will be needed for the next generation of interventional cardiologists.