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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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Rapid-fire - Vascular access in TAVI

17 Feb 2024 – From PCR Tokyo Valves 2024

Discover a selection of rapid-fire TAVI vascular access cases: how to deliver a transcatheter heart valve in a calcified aorta, using the buddy wire technique in TAVR with severely tortuous aorta, and more!

Rapid-fire - Complications in SHD interventions

17 Feb 2024 – From PCR Tokyo Valves 2024

Learn more about complications related to structural heart disease interventions through this rapid-fire series of cases. Discover cases such as a cardiac arrest due to coronary artery obstruction two days after TAVI using a balloon-expandable valve, an aortic stenosis case switched to surgery due to severe...

Rapid-fire - Bailout in SHD

17 Feb 2024 – From PCR Tokyo Valves 2024

Gain valuable insights into the bailout techniques in structural heart disease intervention in this session of rapid-fire submission cases (in Japanese).

Complex diagnosis

17 Feb 2024 – From PCR Tokyo Valves 2024

Gain valuable insights in how to deal with complex diagnoses in this session of rapid-fire submissions cases [in Japanese].

TAVI for patients with concomitant coronary artery disease - LIVE case

17 Feb 2024 – From PCR Tokyo Valves 2024

An 88-year-old male presented a severe symptomatic aortic valve with preserved LV function (64%), a coronary artery disease with a LAD PCI a few years ago and a significant (75%) RCA stenosis with an FFR angio at 0.74. He also has a short membrane septum (2.5...

TAVI for patients with concomitant coronary artery disease - LIVE case

The optimal first valve choice for patients with aortic stenosis - Key considerations for lifetime management

17 Feb 2024 – From PCR Tokyo Valves 2024

This session tackles the pressing topic of TAVI's success in treating aortic stenosis, particularly in younger patients, and the ensuing questions regarding device durability, potential follow-up procedures, and the interplay between TAVI and surgical options. The aim is to ensure optimal decision-making that prioritizes patient welfare...

The optimal first valve

Achieving the optimal outcome using the latest self-expandable TAVI - LIVE case

17 Feb 2024 – From PCR Tokyo Valves 2024

An 86-year-old woman presented severe symptomatic aortic stenosis and coronary artery disease with a preserved LV function. The operators performed a PCI of the RCA ostium one month ago. The CT showed a small femoral access (diameter: 5.3 to 4.9 mm). 
After a predilatation with a 20 mm...

Achieving the optimal outcome using the latest self-expandable TAVI - LIVE case

Late-Breaking Trial session

17 Feb 2024 – From PCR Tokyo Valves 2024

Explore pivotal findings from registries and studies, including the OCEAN-TAVI Registry on PPM prevalence in Asian TAVR patients, SIL-TAVI Registry insights on TAVI outcomes in cancer patients, the EXPAND G4 study's outcomes for Japanese MitraClip G4 recipients, and TRISTAR study's 30-day results on K-Clip for tricuspid...

Late-Breaking Trial session

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...

TAV-in-TAV interventions:

Learn the evidence - Lifetime management of aortic stenosis therapy with self-expandable valve

17 Feb 2024 – From PCR Tokyo Valves 2024

In this dedicated session on aortic stenosis management, gain insights into interpreting the 10-year outcomes of the NOTION trial, the 4-year outcomes of the Evolut Low Risk trial, and the key findings from the CANNULATE TAVR study, and discuss the issue of long-term device durability, draw comparisons...

Learn the evidence - Lifetime management of aortic stenosis therapy with self-expandable valve

Plan your moves: strategies for valves re-intervention

17 Feb 2024 – From PCR Tokyo Valves 2024

This special session sponsored by Edwards Lifesciences focuses on recognising key elements of valve design that impact ability to host future valves re-interventions, learning how to achieve repeatable implant experiences for the index valve and second valve, and identifying strategies to simplify transcatheter heart valve redo...

PCI after TAVI

17 Feb 2024 – From PCR Tokyo Valves 2024

Through these slides, examine selected cases of percutaneous coronary intervention after TAVI. Explore the case of a successful bailout PCI with en-face view for sinus sequestration after self-expandable TAVI, learn about best management of previous implanted chimney stent during TAVI, and more.

Recorded case demonstration in TAVI and Mitral

17 Feb 2024 – From PCR Tokyo Valves 2024

This session of record case demonstrations aims to better understand daily clinical practice in TAVI and MitraClip, as well as helping to resolve daily clinical questions in structural heart disease interventions. [In Japanese]

TAV-in-TAV and coronary access

17 Feb 2024 – From PCR Tokyo Valves 2024

Learn about the challenges of coronary access during TAV-in-TAV procedure through this series of abstract submissions for PCR Tokyo Valves 2024. Expore the feasibility of redo TAVR in Sapien valves based on in-vivo CT assessment, examine the coaxiality of transcatheter aortic self-expanding valve, and more in...

Rapid-fire - PVL after TAVI

17 Feb 2024 – From PCR Tokyo Valves 2024

This session of rapid-fire submitted cases focuses on PVL after TAVI. Explore complex cases such as acute haemolytic anaemia associated with paravalvular leak after TAV-in-TAV, haemolytic anaemia due to a small paravalvular leak, and others.

Learn the procedure strategy - Lifetime management of aortic stenosis therapy with self-expandable valve

17 Feb 2024 – From PCR Tokyo Valves 2024

This special session sponsored by Medtronic focuses on learning what characteristic valves should be used to treat aortic stenosis patients with low calcification or with extremely small native aortic annuluses, and what to pay attention to during the procedure.

Rapid-fire - Complex anatomy in TAVI

17 Feb 2024 – From PCR Tokyo Valves 2024

This session of rapid-fire submitted cases focuses on solutions to complex anatomy during TAVI. Learn about a successful transfemoral TAVR using Evolut FX for complex bicuspid aortic valve stenosis, the feasibility and success of TAVI in rheumatic severe aortic stenosis, and more!

Selection of the 2024 best clinical cases

17 Feb 2024 – From PCR Tokyo Valves 2024

Explore the most outstanding clinical cases from PCR Tokyo Valves 2024, including a nightmare case with bicuspid aortic valve, pharmaco-invasive management of mechanical valve thrombus with cardiogenic shock, and a TAVR-in-TAVR challenge.

Facilitating coronary access after TAVI

17 Feb 2024 – From PCR Tokyo Valves 2024

What are the challenges in coronary access after TAVI and what techniques may be used to facilitate it? Join this session to learn the answers to that question, as well as gaining insight into how to optimize the coronary access in the index procedure.

Selection of the 2024 best abstracts

17 Feb 2024 – From PCR Tokyo Valves 2024

Explore the most outstanding abstracts from PCR Tokyo Valves 2024, such as a study on the disparity in impact of bleeding after TAVI on long-term mortality between Asian and Nordic population, learning about two-year clinical outcomes of staged transcatheter mitral edge-to-edge repair after TAVR, and a...