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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

1472 results

How should I treat? - How to reduce cardiac conduction disturbance with Sapien 3 valve?

16 Mar 2022

Conduction disturbances remain the most common complications of TAVI and its main drawback compared to surgery. How would you treat this 82-year-old man, height 1.68 m, weight 112 kg, with peripheral artery disease, who presented with severe aortic stenosis and symptoms of NYHA Class 3 breathlessness?

Oualid Zouaghi

Author

Oualid Zouaghi
How should I treat? - How to reduce cardiac conduction disturbance with Sapien 3 valve?

Cusp overlay implantation technique – planning step-by-step

11 Feb 2022

The cusp-overlay method aims to implant the self-expandable device higher than in former ways without device pop-out upon release and it reduces pacemaker rates significantly. 

Philipp Lauten

Author

Philipp Lauten
Cusp overlay implantation technique

#5 - How should I optimise my TAVI patients journey?

27 Jan 2022

View the replay of this PCR Webinar on TAVI with S. Toggweiler, D. Blackman and N. Van Mieghem

#5 - How should I optimise my TAVI patients journey?

#4 - How should I manage complex anatomical situations during my TAVI procedures?

27 Jan 2022

Watch the replay of this PCR Webinar on TAVI with O.D. Backer, M. Abdel-Wahab and D. Tchétché

#4 - How should I manage complex anatomical situations during my TAVI procedures?

Cusp symmetry and coronary ostial eccentricity and its impact on coronary access following TAVR

26 Jan 2022

Recently, coronary access has been recognized as an important consideration in the lifetime management of patients with severe aortic stenosis...

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
Cusp symmetry and coronary ostial eccentricity and its impact on coronary access following TAVR

How should I treat? - TAVI in small anatomy with significant LVOT calcification

20 Jan 2022

An 89-year-old man was referred for treatment of severe symptomatic aortic stenosis. This case describes the decision-making in performing TAVI in a patient with twin challenges of small annulus and significant LVOT calcification.

Author

Dan Blackman
Cunnington Michael

Author

Cunnington Michael
Chris Malkin

Author

Christopher Malkin
How should I treat? - TAVI in small anatomy with significant LVOT calcification

Align to a line: improve clinical outcome of current and future patients with the Evolut platform

22 Dec 2021 – From GulfPCR-GIM 2021

Thanks to this session, aimed at revealing the exceptional performance of Evolut PRO+, learn key considerations for patients with longer life expectancy and explore the pathway to a single-digit pacemaker post-TAVI.

Align to a line: improve

Optimising TAVI results in patients with small aortic annuli

22 Dec 2021 – From GulfPCR-GIM 2021

This session will enable you to discuss the clinical outcomes of TAVI results in patients with small aortic annuli, learn how to best measure and assess gradients when performing TAVI, and review a case of a patient with small annuli treated with TAVI.

Optimising TAVI results

A mix of cases: HBR in ACS, endovascular venoplasty, carotid artery stenting and TAVI complications

Watch this session to discover various challenging cases presented at GulfPCR-GIM 2021: managing high-bleeding risk in ACS, endovascular venoplasty and stenting of subclavian vein in a patient on prolonged haemodialysis, flow arrest and reversal for carotid artery stenting in patients with high-grade bilateral stenosis, as well as TAVI complications...

Miscellaneous cases

Complications during PCI, guidewire entrapment and and unexpected Impella complication

16 Dec 2021 – From GulfPCR-GIM 2021

Watch this series of clinical cases- would you have made the same treatment choices to manage these complications?

- Unusual complication during an angiogram
- When wires give you troube
- Routine PCI complications: a CTO technique to the rescue
- Entrapment and fracture of coronary guidewire
- An unexpected Impella...

Complications during

How to improve the effectiveness of hemostasis of large bore arteriotomy using a combined approach of suture- and plug-based closure devices

15 Dec 2021

Vascular complications dramatically impact patients outcome after TAVI. This technique is a helpful illustration of how to combine suture and plug based closure devices in order to manage access site successfully.

Giuliano Costa

Author

Giuliano Costa
Marco barbanti

Author

Marco Barbanti
How to improve the effectiveness of hemostasis of large bore arteriotomy using a combined approach of suture- and plug-based closure devices

Contemporary TAVI in 2021 - Session with LIVE case

15 Dec 2021 – From GulfPCR-GIM 2021

Watch the LIVE case of a 76-year-old female patient with DM and HTN, who had MPI 2 years ago and who presented with severe aortic stenosis, and discuss device selection based on coronary anatomy, cerebral protection device use, and peripheral vascular access management.

Contemporary TAVI in 2021

Lifetime management of TAVI patient

15 Dec 2021 – From GulfPCR-GIM 2021

In this session, start viewing the case of a 67-year-old female patient with hypertension and severe symptomatic aortic stenosis used to illustrate TAVI in very small aortic annulus, and, then, follow the discussion about smallest annulus treated with TAVI and lifetime management of TAVI patient. 

Lifetime management of

#3 - How should I reflect on the lifetime management of my patient since the 1st TAVI procedure?

14 Dec 2021

Watch the replay of this PCR Webinar on TAVI with N. Dumonteil, A. S. Petronio and L. Sondergaard.

#3 - How should I reflect on the lifetime management of my patient since the 1st TAVI procedure?

#2 - TAVI: How can procedural and device refinements benefit our patients?

14 Dec 2021

Watch the replay of this PCR Webinar with H. Gada, D. Fraser and G. Tang to understand the rationale of cusp overlap technique and how it can improve TAVI procedural outcomes !

#2 - TAVI: How can procedural and device refinements benefit our patients?

#1 - How should Heart Teams adapt to recently-updated valvular heart disease guidelines?

14 Dec 2021

Discover the replay of this PCR Webinar on TAVI with N. Piazza, S. Bleiziffer and J. Bax.

#1 - How should the Heart Teams adapt to recently updated Valvular Heart Disease Guidelines?

Medtronic TAVI Sessions from PCR London Valves 2021

10 Dec 2021

Watch these recordings from PCR London Valves on TAVI.

Medtronic TAVI Sessions from PCR London Valves 2021

Anatomy of the aortic valvar complex with considerations for optimal TAVI positioning

23 Nov 2021 – From PCR London Valves 2021

In this PCR London Valves 2021 simulation-based learning session, learn the latest in transcatheter aortic valve implantation, gain an understanding of anatomical features, review imaging modalities to plan and perform procedures, and witness hands-on activities, among others.

Anatomy of the aortic valvar complex with considerations for optimal TAVI positioning

Coronary access following TAVI

23 Nov 2021 – From PCR London Valves 2021

Using the anatomy and imaging section and simulators, our experts dissect the case of a typical TAVI patient, an 81-year-old male, former smoker, with hypertension, dyslipidemia, and gastric ulcer, symptomatic of effort dyspnea, with marked left ventricular hypertrophy and all the parameters of severe aortic stenosis,...

Coronary access following TAVI

Commissural alignment for TAVI

23 Nov 2021 – From PCR London Valves 2021

In this PCR London Valves 2021 session shot in the simulation lab, learn tips and tricks for achieving commissural alignment, review the strategy for improving TAVR outcomes, and discuss how to get the right imaging, the right tools, and the right patients. 

Commissural alignment for TAVI