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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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Latest developments in interventional valve therapies

06 Dec 2023 – From GulfPCR-GIM 2023

In this GulfPCR-GIM 2023 session, learn more about RESILIA, the calcium-blocking tissue found in Edwards' newest innovative system: the Sapien 3 Ultra Resilia. Then, move on from TAVI to the first mitral transcatheter edge-to-edge repair (TEER) performed in the Middle East using the PASCAL Precision System.

Latest developments in interventional valve therapies

Complication cases - Best case submissions

06 Dec 2023 – From GulfPCR-GIM 2023

Benefit from a selection of 6 clinical cases whose complications are particularly interesting to discuss, including pericardial effusion following circumflex artery intervention, or Rota burr incarceration, to perfect your knowledge and gain tips and tricks to manage them better when you, in turn, come up against...

Complication cases - Best case submissions

Challenging structural interventions: part 1

06 Dec 2023 – From GulfPCR-GIM 2023

In these slides, explore a selection of cases focusing on challenging structural interventions, with a case of complex bicuspid aortic valve, and a special focus on TAVI dysfunction.

Next-generation complex PCI toolkit and novel balloon expandable Myval THV

06 Dec 2023 – From GulfPCR-GIM 2023

This session is a valuable resource for grasping innovative strategies in handling bifurcation and extended diffuse lesions through dedicated stenting solutions. Explore insights into the advanced Myval next-generation THV technology, unveiling its distinctive features, procedural advantages, and clinical outcomes across a diverse patient pool. Gain understanding...

Next-generation complex PCI toolkit and novel balloon expandable Myval THV

Newer generation self-expanding platform: technical optimisation for common clinical challenges

05 Dec 2023 – From GulfPCR-GIM 2023

The primary focus of this GulfPCR-GIM 2023 session revolves around pre-procedural planning considerations, valve selection, and managing complex anatomies using both traditional self-expanding valves and the Evolut FX system. Additionally, the session aims to explore the work-up protocol for patients grappling with severe AS and advanced...

Newer generation self-expanding platform: technical optimisation for common clinical challenges

Essentials of lifetime management of TAVR patients using novel Myval THV

05 Dec 2023 – From GulfPCR-GIM 2023

Join this GulfPCR-GIM 2023 session to explore the Myval next-generation THV technology, uncovering its unique features, procedural advantages, and clinical benefits, from extensive patient data. Learn also about the CorAlign technique that ensures precise commissural and coronary alignment while preserving coronary access, and gain insights into...

Essentials of lifetime management of TAVR patients using novel Myval THV

Evidence gap and new indications

05 Dec 2023 – From GulfPCR-GIM 2023

Follow discussions about a 74-year-old patient with NYHA III.IV dyspnea, DM, HTN, paroxismal AF and LVEF 20% to find out more about symptomatic moderate aortic stenosis, and about an 84-year-old patient with dyspnea NYHA III, HTN, no significant CAD, and follow-up for moderate aortic regurgitation, and...

Evidence gap and new indications

Valve-in-valve: not as simple as it looks

05 Dec 2023 – From GulfPCR-GIM 2023

Thanks to this session, you will enhance your comprehension of anticipating, planning, and executing TAV-in-TAV procedures, and gain insights into preventing coronary obstruction during these interventions.

Valve-in-valve: not as simple as it looks

From access to annulus: overcoming challenging anatomies

05 Dec 2023 – From GulfPCR-GIM 2023

Gain expertise in selecting the appropriate TAVI device for achieving stable deployment in a 90-degree horizontal aorta. Discover techniques for ensuring smooth deliverability, particularly when navigating through tight and tortuous anatomies. Additionally, learn strategies to prepare for future coronary access, irrespective of the height of the...

From access to annulus: overcoming challenging anatomies

TAVI for bicuspid aortic stenosis patients - Recorded cases

05 Dec 2023 – From GulfPCR-GIM 2023

Discover two clinical cases of optimising TAVI procedure in bicuspid aortic valve patients, taking into account the current sizing options in such anatomy.

  • An 84-year-old woman with a history of LAD PCI in 2020, presented a symptomatic severe aortic stenosis and grade 3 regurgitation with a preserved LV...
TAVI for bicuspid aortic stenosis patients - LIVE case

How to manage paravalvular leaks?

04 Jan 2024 – From PCR London Valves 2023

Invited to talk about paravalvular leaks, Grzegorz Smolka, Patrick Calvert and Xavier Freixa begin by placing the subject in context, mentioning the frequency with which it is encountered in general practice.

Then, they distinguish between patients likely to benefit from paravalvular leak closure via transcatheter and those...

How to manage paravalvular leaks? - PCR London Valves 2023

Contemporary surgical & transcatheter treatment options for severe aortic regurgitation patients

05 Dec 2023 – From PCR London Valves 2023

Two cardiac surgeons, Hendrik Treede and Michael Reardon, and an echo specialist, Joao Cavalcante, have been invited to share their views on aortic regurgitation management.

So far, surgery remains the gold standard, and they explain why, by also comparing repair and replacement, before discussing the challenge that...

Contemporary surgical & transcatheter treatment options for severe aortic regurgitation patients  - PCR London Valves 2023

What does lifetime management mean for the valve patient?

10 Jan 2024 – From PCR London Valves 2023

Bettina Kirk, Alexandra Baer and John Webb discuss the question of lifetime management for valve disease patients, and begin by outlining the main difficulties involved, offering both an interventional cardiologist's and a nurse's perspective.

Then, they are considering how this lifetime management could be improved in the...

The remaining big questions in transcatheter tricuspid valve intervention - PCR London Valves 2023

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...

How to anticipate, plan and perform a TAV-in-TAV?

What is the optimal aortic valve choice in the younger patient: transcatheter or surgery?

29 Nov 2023 – From PCR London Valves 2023

Follow the discussion between Darren Mylotte, Kentaro Hayashida and Ole De Backer to better understand the concept of "young patients" and what it exactly implies, and analyze how best to bring these specific patients to the end of their still potentially long life, by choosing the...

What is the optimal aortic valve choice in the younger patient: transcatheter or surgery?

Navigating complexity: surgical valve degeneration and complex coronary artery disease in a multimorbid patient

14 Dec 2023

How would you treat this 83-year-old male patient with LM, MVD, RCA CTO, severely reduced EF, and constrictive surgical valve?

Sadeek Sidney Kanoun Schnur

Author

Sadeek Sidney Kanoun Schnur

Author

Albrecht Schmidt
Dr. Gabor G. Toth

Author

Gabor G. Toth
Navigating complexity: surgical valve degeneration and complex CAD in a multimorbid patient

Focus on aortic valves

22 Nov 2023 – From PCR London Valves 2023

Simon Redwood and Christopher Cook cover the top three highlights of the aortic track at #PCRLV 2023:

  • LIVE and recorded cases showcasing procedures from simple to highly complex.
  • Engaging discussions on TAV in TAV procedures to enhance our ability to effectively treat patients.
  • Long-term data and late trial results...
Highlights from PCR London Valves 2023 - Focus on aortic valves

TAVI - Vascular complications

21 Nov 2023 – From PCR London Valves 2023

Learn valuable insights into vascular complications management and prevention during TAVI with this session: navigate the challenges of a post-TAVI common femoral artery occlusion in a patient with a previously implanted bioabsorbable closure device, witness the difficulties of common iliac artery stent dislodgment, explore the rare...

TAVI - Vascular complications

TAVI - complications

21 Nov 2023 – From PCR London Valves 2023

Because TAVI is not without risk, learn about bailout endovascular techniques to counter transcatheter aortic valve LV dislocation, analyze the cost of infectious complications caused by TAVR compared with SAVR, and discover how imaging can predict aortic root rupture or conduction abnormalities, among others.

TAVI - complications

Coronary imaging in the structural cathlab

21 Nov 2023 – From PCR London Valves 2023

If you still have any doubts, take a look at the presentations in this PCR LV 2023 session to be convinced of the importance of imaging, particularly IVUS, pre-, during and post-TAVI! It helps to prevent coronary artery occlusions, manage post-TAVR complications and guide rotablation, to name...

Coronary imaging in the structural cathlab