
Transcatheter Interventions Online
@TIOCongress
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Empowering the global interventional cardiology community with live cases, expert insights and innovative education. Help us to elevate patient care worldwide!
Joined August 2024
Part 2️⃣: Continuing the #TTVR case, @PhilippLurz, @vonBardelebenRS & @EZancanaroMD, University Medical Center Mainz, deploy a 56 mm EVOQUE in a 77yo with secondary TR. Atrial capsule retraction triggers ventricular & atrial expansion → valve release. Anchor depth confirmed.
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Part 1️⃣: @PhilippLurz, @vonBardelebenRS & @EZancanaroMD, Mainz, perform #TTVR in a 77yo male with secondary TR, NYHA III & recurrent HF admissions. They show how removing secondary flex improves valve position—tracking orientation via fluoro & echo in RAO view.
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Part 3️⃣: @modine_thomas, Lionnel Leroux, @TernacleJ & @guilbon, Atlantic Valve Academy, complete LuX-Valve #TTVR in an 81yo male with COPD, paroxysmal AF & severe TR. After confirming seal, the valve is released. The system is de-flexed & retracted into the RA.
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Part 2️⃣: @modine_thomas, Lionnel Leroux, @TernacleJ & @guilbon, Atlantic Valve Academy, perform LuX-Valve #TTVR in an 81yo male with COPD, paroxysmal AF & severe TR. 2D echo shows no anterior paravalvular leak. 3D confirms good posterior apposition with no leak.
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Part 1️⃣: @modine_thomas, Lionnel Leroux, @TernacleJ & @guilbon, Atlantic Valve Academy, perform LuX-Valve #TTVR in an 81yo male with COPD, paroxysmal AF & severe TR. The 3-armed needle is released under fluoro. Echo views are prepared for review as final positioning is confirmed.
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Amit Hooda & @DoctorKini, Mount Sinai, perform LM PCI in a 75yo male with EF 45%, eGFR 63 & total RCA occlusion. @mbmcentegart discusses small 90° calcific nodule with minimal concentric calcium. She suggests NC balloon pre-IVUS, IVL as backup. #InterventionalCardiology
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Part 3️⃣: @JoostDaemen & @drnvanmieghem, at @ErasmusMC continue a #ComplexPCI with orbital #atherectomy & DCB on a 79yo male post-TAVI. Post-OA imaging reveals very thick calcium & proximal nodules are unfractured, highlighting challenges in modifying severe calcification.
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Part 2️⃣: @JoostDaemen & @drnvanmieghem, at @ErasmusMC continue a #ComplexPCI with orbital atherectomy & DCB on a 79yo male. Imaging shows tight distal calcium & bridging. GlideAssist segment is clean, but active atherectomy caused some intimal tears. #InterventionalCardiology
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Part 1️⃣: @JoostDaemen & @drnvanmieghem, at @ErasmusMC perform a #ComplexPCI with orbital atherectomy & DCB on a 79yo post-TAVI. They use GlideAssist for safe navigation & precise #atherectomy on proximal calcium. Followed by OCT to confirm. #InterventionalCardiology
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Amit Hooda and @DoctorKini, Mount Sinai, begin complex LM PCI in a 75yo male with EF 45%, COPD & eGFR 63. EDP 8. Angio shows moderate LM disease with trifurcation, ostial LAD, large ramus & occluded RCA. Moderate calcium seen on v-gram. #ComplexPCI #InterventionalCardiology
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Part 3️⃣: @kalazizimd & Sibi Thomas, Baylor Scott & White - The Heart Hospital Plano, continue their ICE-guided #LAAO on an 83yo male with AF, CHA₂DS₂-VASc 4, HAS-BLED 4 & GI bleeds. After downsizing to an 18mm @AbbottNews Amulet device, the team ensures optimal placement with
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Part 2️⃣: @kalazizimd & Sibi Thomas continue an ICE-guided #LAAO at Baylor Scott & White - The Heart Hospital Plano, Plano, US on an 83yo male with AF, CHA₂DS₂-VASc 4, HAS-BLED 4 & GI bleeds. The team downsize to an 18mm Amulet device from @AbbottNews, discussing the need for
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Sibi Thomas & @kalazizimd perform an ICE-guided #LAAO at Baylor Scott & White - The Heart Hospital Plano, Plano, US on an 83yo male with AF, HAS-BLED 4 & GI bleeds. They discuss Amulet device sizing options (18, 20 & 22 mm), favouring 20 mm, and the potential role of steerable
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David Hildick-Smith and Siu Fung Wong, Royal Sussex County Hospital, perform an #LAAO in an 85yo male with AF, CHA₂DS₂-VASc 4, HAS-BLED 3 & GI bleeds, not on anticoagulation. They discuss transseptal access – @Ryvetsprog favours Brockenbrough, though Baylis is widely used and
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Sibi Thomas and @kalazizimd, Baylor Scott & White – The Heart Hospital Plano, perform an ICE-guided #LAAO in an 83yo male with paroxysmal AF, CHADSVASC 4, HAS-BLED 4 & recurrent GI bleeding. They explain their approach to pre-procedural planning without CT in cases of renal
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Part 3️⃣: @modine_thomas, Lionnel Leroux, @TernacleJ and @guilbon, Atlantic Valve Academy, perform a LuX-Valve #TTVR in an 81yo male with COPD, paroxysmal AF, NYHA II dyspnoea and severe TR. The team identify posterior positioning and potential pressure on the stabilisers. Subtle
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Part 2️⃣: @modine_thomas, Lionnel Leroux, @TernacleJ and @guilbon, Atlantic Valve Academy, continue their LuX-Valve #TTVR in an 81yo male with COPD, paroxysmal AF, NYHA II dyspnoea and severe TR. @TernacleJ describes anatomical landmarks. ‘Rabbit ears’ are distinguished from
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