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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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TAVI in small annulus and coronary artery disease - Session with LIVE case

19 Feb 2023 – From PCR Tokyo Valves 2023

Watch the complex case of an 84-year-old woman with hypertension, type 2 diabetes and coronary artery disease who presented with worsening NYHA class II-III exertional dyspnoea, but no angina, and find out how she was treated LIVE.

TAVI in small annulus and CAD

TAVI and alternative access

19 Feb 2023 – From PCR Tokyo Valves 2023

Learn more about TAVI in this session by reviewing case submissions on topics such as bailout transseptal approach, primary percutaneous transaxillary TAVI, and transapical TAVI with chimney stenting. 

Imaging for structural heart disease intervention

19 Feb 2023 – From PCR Tokyo Valves 2023

Consult this session if you want to learn about imaging in structural heart interventions by exploring series of slides on restoration post transcatheter mitral valve repair, diagnostic performance of CT angiography, and AI in aortic complex measurement for TAVI, and more! 

TAVI in patients with heavily calcified aortic root

19 Feb 2023 – From PCR Tokyo Valves 2023

What role does TAVI play in patients' severely calcified roots? Study the use of balloon-expandable devices, assessing the impact of calcification on aortic root rupture, strategies for safe and effective procedures, and when to consider surgical AVR.

Mitral valve implantation and other technology

19 Feb 2023 – From PCR Tokyo Valves 2023

This session offers insight into advanced mitral valve technologies. It covers details of transapical off-pump repair with synthetic chordae, India's success in transcatheter double valve-in-valve,  TMVI in failing valves, and more.

Coronary access after TAVI

19 Feb 2023 – From PCR Tokyo Valves 2023

Unlock insights into post-TAVI coronary access. Understand transcatheter aortic valve structure, neo-commissure anatomy, and practical techniques. This session covers topics such as optimising commissure alignment, elective CAG/PCI, ACS, and severe aortic stenosis.

TAVI for complex valve

19 Feb 2023 – From PCR Tokyo Valves 2023

Join this session to discover TAVI challenges for complex valves. Gain insights into variations in TAVI patient treatment: bicuspid valve with atypical calcium chunk, balloon-expandable valve implantation, sinus sequestration, hybrid therapy and more!

Tips and tricks in valvular intervention

19 Feb 2023 – From PCR Tokyo Valves 2023

In this session, unlock advanced valvular intervention insights (in Japanese). Overcome challenges like aortic valve alignment failure, cardiogenic shock with LMTD and AS and unforseen low atrial septal puncture for successful, optimised procedures.

Selection of the 2023 best clinical cases

19 Feb 2023 – From PCR Tokyo Valves 2023

Explore the most outstanding clinical cases from PCR Tokyo Valves 2023, including a delayed left ventricular rupture after transcatheter edge-to-edge mitral valve repair and successful bailouts in transcatheter mitral valve repair.

Selection of the 2023 best abstracts

19 Feb 2023 – From PCR Tokyo Valves 2023

Watch this session to discover the best cases and abstracts unveiled at PCR Tokyo Valves 2023, covering topics such as transcatheter aortic valve implantation impact, cerebral protection efficacy, and post-TAVI aortic regurgitation quantification.

Factors to consider during lifetime planning for TAVI patients

19 Feb 2023 – From PCR Tokyo Valves 2023

In this session, explore factors influencing lifetime prognosis and complication avoidance strategies in TAVI patients, focusing on pacemaker and paravalvular leak risk factors.

TAVI with advanced imaging techniques - LIVE case

18 Feb 2023 – From PCR Tokyo Valves 2023

A 93-year-old female, with chronic kidney disease (GFR:34), diabetes, first degree AV block, present a symptomatic severe calcified aortic stenosis. Watch the operators as they implant an Evolut pro 26mm, guided by ICE in order to check the position of the distal part of the valve with...

TAVI with advanced imaging techniques

The optimal first valve choice for all patients with aortic stenosis

18 Feb 2023 – From PCR Tokyo Valves 2023

How have advances in TAVI impacted the lifetime journey of patients with aortic stenosis? Join this panel of experts as they discuss the importance of optimizing the first procedure and the key issues regarding treatment options in patients with bioprosthetic valve deterioration of transcatheter heart valve.

The optimal first valve

How to optimise the lifetime management of TAVI patients with long-life expectancy?

18 Feb 2023 – From PCR Tokyo Valves 2023

This session addresses three essential elements of a successful TAVI procedure: the impact of valve design on long-term durability, how to mitigate the risk of paravalvular leakage, and the importance of the possibility for coronary access after TAVI.

How to optimise the lifetime

TAVI in a patient with heavily calcified valve anatomy - LIVE case

18 Feb 2023 – From PCR Tokyo Valves 2023

An 80-year-old male with chronic kidney disease and interstitial pneumonia treated under steroids presented a symptomatic severe aortic stenosis with massive calcifications on the valves and only on the valves (not the LVOT).
Watch the operators implant a Sapien 3 23 mm (-1cc) with a predilatation (Balloon...

TAVI in a patient with heavily calcified valve anatomy

Lifetime management of patients with aortic stenosis and expanding indication of TAVI - What do we need to know next?

TAVI patients are getting younger and younger, and are becoming less and less risky, so it is becoming essential to know how to manage lifetime and follow-up of patients with aortic stenosis, how to manage prosthesis degeneration, and perform TAVI-in-TAVI or TAVI explant. Thanks to this...

Lifetime management of patients with aortic stenosis and expanding indication of TAVI - What do we need to know next?

Technical challenges and optimal device choice for complex TAVI procedures

18 Feb 2023 – From PCR Tokyo Valves 2023

This session reflects on the importance of device choice and implantation technique in complex TAVI procedures. Uncover challenges in TAVI for failed bioprostheses and bicuspid aortic valves, emphasising optimal device selection and exploring the latest evolutions in TAVI such as the Medtronic.

The 2023 top Japanese abstracts

18 Feb 2023 – From PCR Tokyo Valves 2023

Explore the cutting-edge research showcased in the top Japenese abstracts of PCR Tokyo Valves 2023. Uncover profound insights, including a detailed examination of three-year outcomes in 500 patients treated with MitraClip, a comparative analysis of outcomes between COMBO therapy and transcatheter edge-to-edge repair for severe mitral...

TAVI and difficult anatomy

18 Feb 2023 – From PCR Tokyo Valves 2023

Consult this session to discover how TAVI techniques helped cases of complex anatomy, such as: extremely horizontal aorta patient treated with snare-assisted TAVI technique, a novel simplified pacing-over-the-wire technique, successful non-contrast TAVI, and much more!

Structural heart disease intervention focusing on co-medical roles - Multidisciplinary approach in Japanese style

18 Feb 2023 – From PCR Tokyo Valves 2023

In this session, discover the intricacies of decision-making and a holistic strategy in structural heart disease intervention (in Japenese). Explore interdisciplinary collaboration and evaluate the adequacy of routine work through cases exploring TAVI, MitraClip, and LAAC.