Prof. Patrick Donelly
The ESC Focus Session on “How to evaluate a patient pre-TAVI” yesterday used traditional lecture, case-based discussion, audience interaction and a live case to update participants on the indications, imaging parameters and procedural steps that are important for TAVI success. An overview of TAVI was given by Prof. H. Eltchaninoff (France), which focussed on both the historical context and contemporary practice, and provided a glimpse of exciting future developments. Dr Jonathan Byrne (UK) reminded participants of the role of echocardiography in screening patients for eligibility for selection, and the need to consider 3D imaging techniques for accurate annular assessment. Dr P Maurovich Horvat (Budapest) discussed the role of CT TAVI assessment not only for vascular access assessment, but to achieve accurate 3D annular measurements that would guide prosthesis size and choice. A complex TAVI case-based discussion took place, and participants based on the information voted on how best the live case should be approached. The Heart Team in Belfast was led by Dr Mark Spence who addressed the challenges in the case, reinforced the minimally invasive nature of a local anaesthetic technique, and he took the audience step by step through the procedural process. The session concluded with a brief review of the ESC/EACTS 2012 TAVI guidance and reinforced the role of TAVI in patients with severe inoperable aortic stenosis, the need for multi-modality imaging work up, and the significant role of the Heart team in patient selection and consensus decision making. Congratulations to all.
How to evaluate a patient before TAVI - LIVE from Belfast
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