How Can I Simultaneously Optimize TAVI and Future Coronary Access? Lifetime Management of Patients With Severe AS Without Compromise
Overview
Coronary Artery Disease (CAD) is present in 60–70% of current TAVI patients1. Future TAVI patients will be treated at a younger age with longer life expectancy who may develop CAD. Therefore easy coronary access is paramount to treat current and future patient populations safely2.
This webinar aims to illustrate how to optimize procedural outcomes by using commissural alignment to preserve coronary access3,4 and increase options for possible future interventions.
Key References
1. T. Lefèvre, A.P. Kappetein, E. Wolner, et al., PARTNER EY Investigator Group
One year follow-up of the multi-centre European PARTNER transcatheter heart valve study
2. Short-and-Long-Term Outcomes after Coronary Rotational Atherectomy in Patients Treated with Trans-Catheter Aortic Valve Implantation.
Lunardi M, Pighi M, Venturi G, Del Sole PA, Pesarini G, Mainardi A, Scarsini R, Ferrero V, Gottin L, Ribichini F.
J Clin Med. 2020 Dec 31;10(1):112. doi: 10.3390/jcm10010112.
PMID: 33396185 Free PMC article.
3. Patient-Specific Implantation Technique to Obtain Neo-Commissural Alignment With Self-Expanding Transcatheter Aortic Valves.
Bieliauskas G, Wong I, Bajoras V, Wang X, Kofoed KF, De Backer O, Søndergaard L.
JACC Cardiovasc Interv. 2021 Sep 8:S1936-8798(21)01233-4. doi: 10.1016/j.jcin.2021.06.033. Online ahead of print.
PMID: 34538602
4. Commissural Alignment of the ACURATE neo Valve in Transcatheter Aortic Valve Replacement.
Kitamura M, Wilde J, Gohmann R, Majunke N, Gutberlet M, Shibata M, Kiefer P, Desch S, Thiele H, Holzhey D, Abdel-Wahab M.
JACC Cardiovasc Interv. 2021 Aug 9;14(15):1740-1742. doi: 10.1016/j.jcin.2021.05.037.
PMID: 34353607 No abstract available.
Key Learning Objectives
- Step by step demonstration how to perform commissural alignment
- Understand current and predicted trends in TAVI with respect to preserving coronary access
- Share experience and discuss lifetime management of patients with severe AS with consideration of factors for choosing valves in low risk populations
Target Audience
- Interventional Cardiologists
- Cardiac Surgeons
- Interventional Fellows
- TAVI Experts
- Complex PCI experts
Agenda
