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TAVI (Transcatheter aortic valve implantation)

Find all the latest content on TAVI published on this website.

TAVI, now an established, valid treatment for patients presenting with symptomatic severe aortic stenosis, has proven to be superior to medical treatment for inoperable patients whilst being a valid alternative to surgery in select, high-risk patients. This topic covers the newest devices and emerging data in TAVI as well as information on tools, devices and techniques such as vascular access; the role of adjunctive pharmacotherapy; imaging techniques such as echocardiography, understanding bleeding risks or patient selection. Use the filters below to access PCRonline resources.

Anatomy of the aortic valvar complex

View a detailed and comprehensive description of the anatomy of the aortic valvar complex as it pertains to TAVI.

View illustrated aortic valvar complex

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TAVI

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Optimisation of immediate and long-term outcomes using a novel self-expanding valve

18 Dec 2024 – From GulfPCR-GIM 2024

Explore the features and benefits of the ACURATE neo2, a novel self-expanding valve, through clinical cases and recorded procedures. Gain insights into step-by-step implantation techniques, the latest evidence in TAVI, and outcomes from immediate to long-term, focusing on lifetime patient management.

Optimisation of immediate and long-term outcomes using a novel self-expanding valve

Best abstracts session #2

18 Dec 2024 – From GulfPCR-GIM 2024

This 'Best Abstracts' session features a diverse range of cutting-edge research in interventional cardiology. Explore insights into the Canadian experience with balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension, gain mechanistic understanding of iatrogenic coronary artery dissections through direct angioscopic visualization, and delve into the outcomes...

Best abstracts session #2

Complications and challenging cases #1 in interventional cardiology

18 Dec 2024 – From GulfPCR-GIM 2024

This session delves into a range of complex and challenging cases in interventional cardiology. Explore a coronary balloon fracture compromising the vascularization of the forearm after a radial approach PCI, as well as strategies for surviving the storm during challenging procedures. Discover an emergency transcutaneous balloon...

Complications and challenging cases #1

TAVI and FFR-guided PCI vs. SAVR and CABG in AS with complex or multivessel CAD: the TCW Trial

16 Dec 2024

The TCW trial found that FFR-guided PCI with TAVI offers favorable one-year outcomes, including lower rates of all-cause mortality, MI, disabling stroke, revascularisation, valve reintervention, and severe bleeding, compared to CABG with SAVR.

Nicola Ryan

Reviewer

Nicola Ryan
TAVI and FFR-guided PCI vs. SAVR and CABG in AS with complex or multivessel CAD: the TCW Trial

Compare TAVI - Top Late Breaking Trial at PCR London Valves 2024

26 Nov 2024 – From PCR London Valves 2024

Chiara De Biase and Christian Terkelsen review the one-year results of the Compare TAVI randomized study, which set a benchmark for evaluating the performance and safety of new transcatheter heart valves (THVs) compared to best-in-practice THVs. The findings revealed that the Myval THV series was non-inferior...

Compare TAVI - Top Late Breaking Trial at PCR London Valves 2024

Featured cases - TAVI nightmares (Part 3)

26 Nov 2024 – From PCR London Valves 2024

Brace yourself for a deep dive into TAVI nightmares from PCR London Valves 2024. Uncover cases involving severe complications such as annular ruptures, transvalvular regurgitation, instrument failures, and post-dilation balloon ruptures. Witness how skilled clinicians navigated these high-stakes scenarios and implemented life-saving interventions. Gain invaluable insights...

Featured cases - TAVI nightmares (Part 3)

Featured cases - TAVI in challenging anatomy

26 Nov 2024 – From PCR London Valves 2024

Delve into this captivating session showcasing TAVI in challenging anatomies from PCR London Valves 2024. Discover innovative techniques and strategies employed to overcome complex vascular access, including percutaneous large-bore access, transfemoral TAV-in-TAV with endoconduit, aorto-femoral bypass access, and the use of intravascular lithotripsy. Explore expert-level tips...

Featured cases - TAVI in challenging anatomy

Rapid-Fire - TAVI-in-TAVI (Part 2)

26 Nov 2024 – From PCR London Valves 2024

Delve into a rapid-fire session showcasing selected clinical cases from PCR London Valves 2024, focusing on TAVI-in-TAVI procedures. Discover insights into unexpected complications, such as coronary artery occlusion, and explore the comparison of hemodynamic valve deterioration processes between self-expanding and balloon-expandable THVs. Learn about procedural planning...

Rapid-Fire - TAVI-in-TAVI (Part 2)

Featured research - Aortic valve (Part 11)

26 Nov 2024 – From PCR London Valves 2024

Explore the latest advancements in aortic valve research during this featured session, showcasing selected abstracts from the upcoming PCR London Valves 2024 conference. Delve into topics ranging from the long-term outcomes of bailout valve-in-valve TAVI, the performance of the Navitor THV in bicuspid aortic valves, novel...

Featured research - Aortic valve (Part 11)

Featured Cases - TAVI in SAVR (Part 2)

26 Nov 2024 – From PCR London Valves 2024

Delve into this session featuring selected clinical cases from PCR London Valves 2024, focusing on the use of TAVI to address challenging scenarios in patients with prior surgical aortic valve replacement (SAVR). Gain insights into managing severe aortic regurgitation in degenerated homografts, stopping torrential aortic regurgitation...

Featured Cases - TAVI in SAVR (Part 2)

Stroke prevention - featured cases

26 Nov 2024 – From PCR London Valves 2024

Dive into this session featuring selected clinical cases from PCR London Valves 2024, focusing on the use of various stroke prevention strategies during structural heart interventions. Explore techniques such as snaring-assisted TAVR under cerebral embolic protection, single-side access for cerebral embolic protection devices, and the integration...

Featured Cases - Stroke prevention

Featured cases - TAVI in aortic regurgitation

26 Nov 2024 – From PCR London Valves 2024

Delve into this session featuring selected clinical cases from PCR London Valves 2024, focusing on the use of TAVI to address aortic regurgitation. Gain insights into the management of pure native aortic regurgitation in surgically unfit patients, the treatment of aortic regurgitation in patients with left...

Featured cases - TAVI in aortic regurgitation

Rapid-Fire - TAVI and co-existent coronary artery disease

26 Nov 2024 – From PCR London Valves 2024

Explore a rapid-fire session featuring a selection of compelling clinical cases from PCR London Valves 2024. Discover how interventional cardiologists navigated complex scenarios, including overcoming late radiotherapy consequences, tackling challenging bicuspid aortic stenosis with left main disease, managing TAVI from elective to emergency, performing CTO intervention...

Rapid-Fire - TAVI and co-existent coronary artery disease

How to improve TAVI durability - LIVE case

26 Nov 2024 – From PCR London Valves 2024

Explore two fascinating cases tackling severe aortic valve challenges with innovative approaches:

  • LIVE Case: An 84-year-old woman with a history of breast cancer and TAVI (Evolut Pro 29) in 2016, presenting with symptomatic severe TAVI stenosis. CT revealed a true ID of 19 mm. The team implanted...
TAVI durability and treatment options

How to implement a successful structural intervention programme

26 Nov 2024 – From PCR London Valves 2024

Embark on a journey to learn how to implement a successful structural intervention program. Discover the essential requirements for building transcatheter valve intervention capabilities, including the necessary equipment, personnel, and training programs. Gain insights on establishing aortic, mitral, and tricuspid intervention programs, as well as creating...

How to implement a successful structural intervention programme

Featured cases - TAVI coronary protection strategies (Part 3)

26 Nov 2024 – From PCR London Valves 2024

This session, part of the Featured Cases series from PCR London Valves 2024, focuses on TAVI coronary protection strategies. Explore various challenging cases, including valve-in-valve TAVI scenarios with the risk of left main artery obstruction, orthotopic chimney stenting following valve-in-valve TAVI, and the management of post-dilatation...

Featured cases - TAVI coronary protection strategies (Part 3)

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 - TAVI in bicuspid valve anatomy (Part 2)

Featured cases - TAVI nightmares (Part 4)

26 Nov 2024 – From PCR London Valves 2024

This session, part of the Featured Cases series from PCR London Valves 2024, delves into the management of TAVI nightmares. Explore a range of complex and unexpected complications, such as left ventricular pseudo-aneurysm, suicide left and right ventricle, contained aortic annular rupture, and type A aortic...

Featured cases - TAVI nightmares (Part 4)

Featured cases - TAVI in unusual anatomical situations

26 Nov 2024 – From PCR London Valves 2024

Delve into a collection of TAVI cases in unusual anatomical situations, offering valuable insights for navigating complex scenarios. Discover successful percutaneous approaches to address conditions like bicuspid valves with membranous interventricular septum aneurysm, subaortic membrane, and pure aortic regurgitation in quadricuspid valves. Explore strategies for managing...

Featured cases - TAVI in unusual anatomical situations

Rapid-Fire - TAVI complications: valve embolization, balloon ruptures & more!

26 Nov 2024 – From PCR London Valves 2024

Dive into this rapid-fire session showcasing a collection of captivating TAVI complication cases from PCR London Valves 2024. Witness the highs and lows of TAVI procedures, from valve embolization and parallel wiring to balloon ruptures and deformed valves. Gain valuable insights through reflective learning and discover...

Rapid-Fire - TAVI complications: valve embolization, balloon ruptures & more!