Expanding Your Transfemoral TAVI Access Options with IVL

Published: 28 April 2021

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In this session, Prof Nicolas Van Mieghem and Dr Joost Daemen (Erasmus Medical Center, Rotterdam, NL) combine presentation, case review, and discussion to provide expert insight into TAVI access options with IVL. This programme addresses the challenges associated with problematic calcium, examines the role of IVL in cracking calcium in situ, and highlights the importance of its mechanism of action in minimising complications.

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Learning objectives

  • Learn how IVL can break down the barriers of calcification to enable transfemoral (TF) access
  • Understand how IVL’s safe and efficacious mechanism of action (MOA) reduces complications
  • View our patient case and understand how IVL seamlessly fits into the procedural steps simplifying complex calcified transfemoral access
  • Interact with our panelists in a live Q&A format following


  • Interventional Cardiologists
  • General Cardiologists

More from this programme

Part 1


Prof Van Mieghem provides an overview of the challenges associated with problematic calcium, and looks at the role of intravascular lithotripsy.

Part 2

Case Presentation

Prof Van Mieghem and Dr Thijmen Hokken present the case.

Part 3


Prof Van Mieghem and Dr Joost Daemen discuss the case and address questions from the live audience.
1 session
Discussion Watch now

Faculty Biographies

Nicolas M Van Mieghem

Nicolas M Van Mieghem

Medical Director

Prof Nicolas Maria Van Mieghem is an Interventional cardiologist at Thoraxcenter, Erasmus MC, Rotterdam, NL decided to pursue a career that would help others. “I enjoy the feeling of being able to help someone or do something important for them". His father was a general cardiologist and one of his biggest influences early in his career.

Prof Van Mieghem initially intended to train as a cardiac surgeon but decided to specialise in interventional cardiology instead, following advice from a mentor. This decision was cemented when he read the first-in-human case report of transcatheter aortic valve implantation (TAVI) in Circulation by Alain Cribier in 2002. Prof Van Mieghem believes that great cardiologist genuinely cares for their patients. He names Gary Roubin, Dr Manu Malbrain and Professor Patrick Serruys among his mentors. 

His current research focuses on cerebral embolic protection during TAVI and the search for improved…

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Joost Daemen

Joost Daemen

Interventional Cardiologist

Dr Joost Daemen is a senior interventional cardiologist at the Thorax Center, Erasmus MC, Rotterdam, NL. Dr Daemen obtained his degree in medicine at the Erasmus University Medical Center. At present, he is  participating in cathlab-related activities including complex PCI like the use of left ventricular assist devices, intracoronary imaging, cardiac physiology, and structural heart interventions including TAVI, Mitraclip, and renal sympathetic denervation. 

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