Optimizing Outcomes in TAVI AMR BANNAN, MD CONSULTANT, ADULT INTERVENTIONAL CARDIOLOGY KING ABDULAZIZ CARDIAC CENTER
DISCLOSURES CO-PI FOR THE PARTNER AND PARTNER II A TRIALS NO FINANCIAL DISCLOSURES
Minimizing Vascular Complicationsissues related to access • Assessing vessel size, tortousity, calcification pre-procedure • Attention to puncture technique • Careful sheath insertion and removal • Be ready when trouble happens!
Stroke • Usually occurs as valve is advanced around the arch!
Aortic regurgitation • • • •
Annulus sizing ( TTE, TEE, CT, Angiography) Valve positioning- valve embolization Adequate pacing Dual step inflation
Other complications • Valve embolization • Coronary occlusion
Conclusion
Thank you!