SHA24/069005

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!