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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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New frontiers in TAVI: have we reached them?

25 Nov 2024 – From PCR London Valves 2024

Discover the latest advancements in TAVI as we look into the results of the EARLY TAVR and RHEIA trials. Explore how these groundbreaking findings may influence clinical practice guidelines and shape the future of TAVI, as well as the remaining unmet clinical needs in TAVI.

New frontiers in TAVI: have we reached them?

From index procedure to re-valving with a novel self-expanding valve

25 Nov 2024 – From PCR London Valves 2024

Watch this simulation-based symposium to explore the value of the Index Procedure in achieving optimal outcomes during the initial implant, crucial for preventing paravalvular leak, pacemaker dependency, and ensuring precise commissural alignment for coronary access. Discover how the ACURATE neo2/PRIME offers excellent coronary access with its...

From index procedure to re-valving with a novel self-expanding valve

A window into the future - Expanding horizons for patients with long life expectancy with the Evolut FX + TAVI system

25 Nov 2024 – From PCR London Valves 2024

Gain insights into the key considerations when performing TAVI in patients with long life expectancy, including long-term outcomes, valve durability, and the feasibility of future redo-TAVI. Discover the latest data on TAVI in women and patients with small annulus anatomy, as well as a live case...

A window into the future - Expanding horizons for patients with long life expectancy with the Evolut

The many faces of complex TAVI

25 Nov 2024 – From PCR London Valves 2024

Learn how to navigate challenging cases illustrating the complexities of TAVI procedures and the importance of device selection and implantation technique. Discover strategies for tackling issues like bicuspid aortic stenosis, difficult access, and complex anatomies.

The many faces of complex TAVI

Featured cases - TAVI in challenging annular anatomy

25 Nov 2024 – From PCR London Valves 2024

Featured cases - TAVI in challenging annular anatomy

New iterations of self expendable valves - LIVE case

25 Nov 2024 – From PCR London Valves 2024

Watch a LIVE case followed by a recorded case on enhanced TAVI:

  • An 80-year-old female with severe symptomatic aortic stenosis, a complete right bundle branch block (RBB), and preserved LV function. The operators implanted a 25 mm ACURATE Prime valve following predilation with a 22 mm balloon....
New iterations of self expendable valves

Mind the gap! - What's missing in the field of transcatheter aortic valve interventions

25 Nov 2024 – From PCR London Valves 2024

This session aims to uncover the hidden gaps in the field of transcatheter aortic valve interventions (TAVI). Explore strategies for optimizing hemodynamics, durability, flow, and frame expansion post-TAVI. Review current knowledge and emerging approaches to improve hemodynamic performance, device durability, and flow dynamics after TAVI. Discuss...

Mind the gap! - What's missing in the field of transcatheter aortic valve interventions

Featured Research - Aortic valve (Part 7)

25 Nov 2024 – From PCR London Valves 2024

Delve into the latest research on aortic valve interventions in this featured session from PCR London Valves 2024. Explore insights on TAVI for small annuli, the assessment of coronary blood flow before and after TAVI, the impact of sarcopenia on TAVI outcomes, and novel CT-guided algorithms...

Featured Research - Aortic valve (Part 7)

Featured cases - TAVI coronary protection strategies (Part 2)

25 Nov 2024 – From PCR London Valves 2024

Delve into this captivating session showcasing a collection of complex TAVI cases from PCR London Valves 2024, with a focus on coronary protection strategies. Explore innovative approaches to managing complications such as acute left main occlusion, degenerated sutureless bioprosthesis, and the Basilica-Unicorn technique. Gain invaluable insights...

Featured cases - TAVI coronary protection strategies (Part 2)

Featured cases - Transcatheter interventions in cardiogenic shock

25 Nov 2024 – From PCR London Valves 2024

Witness the exceptional management of transcatheter interventions in cardiogenic shock, as showcased in this captivating session featuring selected PCR London Valves 2024 clinical cases. Explore innovative techniques, including flexible nitinol clip repair for ischemic mitral regurgitation, TAVI for acute heart failure, and the use of ECMO...

Featured cases - Transcatheter interventions in cardiogenic shock

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 Complications (Part 2)

Featured Research - Aortic valve (Part 9)

25 Nov 2024 – From PCR London Valves 2024

Dive into the latest research on aortic valve disease in this featured session, comprising selected abstracts from PCR London Valves 2024. Explore topics ranging from lower extremity dysfunction after transfemoral TAVI, gender differences in long-term TAVR outcomes, the impact of left ventricular outflow tract calcification on...

Featured Research - Aortic valve (Part 9)

Rapid-fire - TAVI-in-SAVR

25 Nov 2024 – From PCR London Valves 2024

Rapid-fire - TAVI-in-SAVR

TAVI in women - Recent trials and current understanding

25 Nov 2024 – From PCR London Valves 2024

Looking to learn more about gender-based differences in the presentation and management of aortic stenosis? Dont' miss this video on the specifics of TAVI in women!

You'll discover how aortic stenosis presents uniquely in female patients, review the latest data on TAVI outcomes in women, and gain...

TAVI in women - Recent trials and current understanding

Prevention, recognition and effective complication management during transcatheter valve interventions

25 Nov 2024 – From PCR London Valves 2024

This session delves into the critical topic of preventing, recognizing, and effectively managing complications during transcatheter valve interventions. Gain insights on anticipating potential complications, preparing the team, and translating this knowledge into everyday clinical practice. Through case-based discussions, learn how to react and work collaboratively when...

Prevention, recognition and effective complication management during transcatheter valve interventions

TAVI for aortic regurgitation

25 Nov 2024 – From PCR London Valves 2024

Curious about advancing your knowledge in TAVI for aortic regurgitation? Don’t miss this video!

You'll dive into the diagnostic and treatment strategies to optimize outcomes in patients with aortic regurgitation, explore groundbreaking technologies like the Jenavalve Trilogy THV system and gain insights from the latest clinical evidence and...

TAVI for aortic regurgitation

Featured Cases - TAVI-in-TAVI (Part 2)

25 Nov 2024 – From PCR London Valves 2024

This session features a collection of compelling clinical cases from PCR London Valves 2024, focusing on the challenges and management of TAVI-in-TAVI procedures. Dive into real-world scenarios where redo TAVI was performed for symptomatic paravalvular leaks, TAV-in-TAV was used to address catastrophic complications, and innovative techniques...

Featured Cases - TAVI-in-TAVI (Part 2)

Featured Cases - TAVI and co-existent coronary artery disease

25 Nov 2024 – From PCR London Valves 2024

Dive into this comprehensive session featuring selected clinical cases from PCR London Valves 2024, focusing on the management of TAVI and coexistent coronary artery disease. Explore various scenarios, including cases of severe aortic stenosis presented with acute coronary syndrome and cardiogenic shock, lifetime management of CAD...

Featured Cases - TAVI and co-existent coronary artery disease

Featured Research - Aortic valve (Part 8)

25 Nov 2024 – From PCR London Valves 2024

Delve into the cutting-edge research presented at PCR London Valves 2024 in this comprehensive session. Discover the latest advancements in aortic valve interventions, including AI-based predictive modeling for TAVR valve selection, insights into TAVR outcomes for bicuspid aortic valve with small annulus, the impact of prosthesis-patient...

Featured Research - Aortic valve (Part 8)

TAVI-in-TAVI in a patient with a high risk for coronary obstruction

02 Dec 2024

A 93-year-old woman with prior TAVI and chronic kidney disease presented with severe aortic regurgitation from structural valve degeneration, worsening NYHA III symptoms, and repeated hospitalizations for cardiac decompensation. Imaging highlighted distinct anatomical complexities. How would you navigate the treatment options for this challenging case?

Henryk Dreger

Author

Henryk Dreger
TAVI-in-TAVI in a patient with a high risk for coronary obstruction