Dr Hemal Gada (UPMC Heart and Vascular Institute, US) and his team published an informative review article on “Transcatheter Aortic Valve Replacement Optimization Strategies: Cusp Overlap, Commissural Alignment, Sizing, and Positioning”, in a comprehensive special focus issue on the “Lifetime Management of Patients With Aortic Stenosis” edited by Dr Kendra Grubb (Emory Structural Heart and Valve Center, US). 

In this dynamic and informative discussion Dr Grubb and Dr Gada talk about the optimization strategies for transcatheter aortic valve replacement (TAVR).

Discussion Points

1m 10s: Where are we now and what is the best treatment for patients with AS?

4m 30s: Should we apply the cusp overlap technique for all TAVRs?

5m 19s: What are the tips for teams transitioning from a balloon expandable to a self-expanding platform?

7m 40s: Why would landing a valve higher result in less paravalvular leak (PVL)?

8m 54s: How does commissural alignment help with TAVR and why do we need it?

10m 33s: What can we do the optimize patients’ valve choice?

12m 18s: How do you decide between the valves if you have limited choices?

15m 34s: Which patients are benefiting more from surgery?

17m 19s: How does a perfect valve platform would look like? What features are we missing?

Read and download the discussed US Cardiology Review article here.

Read the special focus on Lifetime Management of Patients with Aortic Stenosis here.