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TAVR isn’t just a procedure anymore — it’s a lifetime management decision.
In this in-depth case discussion, Dr. Matt Summers and Dr. Aiden Raney dive into how hemodynamics, modeling tools, and device design are reshaping how operators approach valve selection, coronary access, and reintervention planning.
Key insights include:
Real-world cases showing how valve selection has evolved since 2018
Using DASI modeling to predict sinus sequestration and coronary risk
How Shortcut has simplified bilateral leaflet modification and reduced procedure times
Lessons learned from redo-TAVR failures, pannus formation, and HALT
Why younger and bicuspid patients still favor surgical approaches
How commissural alignment and annular eccentricity guide modern valve choice
When and how to tackle coronary intervention through TAVR frames
The importance of hemodynamics over “comfort” in valve selection
This is a must-watch for interventional cardiologists aiming to merge clinical intuition with device innovation and predictive modeling for long-term outcomes.
Chapters:
00:00 – Revisiting early valve-in-valve planning
01:00 – How modeling (DOSI) predicts coronary occlusion risk 02:20 – Shortcut vs. Basilica: evolution in leaflet modification 04:00 – Purpose-built devices reducing case time and risk 05:00 – When Shortcut changes your threshold for leaflet splitting
07:00 – Lessons from redo-TAVR and pannus formation 10:00 – Why bicuspid and young patients often need surgery 13:00 – The coronary access problem that taught a hard lesson
16:00 – Commissural alignment as the key to reintervention success
18:00 – Doing left main PCI through a fresh TAVR
20:00 – Horizontal aortas and catheter flexibility
22:00 – Hemodynamics as the foundation of valve choice 24:00 – Building a lifetime valve strategy for every patient
🔔 Subscribe for more insights from interventional experts and real-world program builders.
📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687
📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA
#TAVR #StructuralHeart #ValveInValve #LeafletModification #PredictiveModeling #CommissuralAlignment #InterventionalCardiology #DOSI #CoronaryAccess #MurmurMD
By MurmurMDTAVR isn’t just a procedure anymore — it’s a lifetime management decision.
In this in-depth case discussion, Dr. Matt Summers and Dr. Aiden Raney dive into how hemodynamics, modeling tools, and device design are reshaping how operators approach valve selection, coronary access, and reintervention planning.
Key insights include:
Real-world cases showing how valve selection has evolved since 2018
Using DASI modeling to predict sinus sequestration and coronary risk
How Shortcut has simplified bilateral leaflet modification and reduced procedure times
Lessons learned from redo-TAVR failures, pannus formation, and HALT
Why younger and bicuspid patients still favor surgical approaches
How commissural alignment and annular eccentricity guide modern valve choice
When and how to tackle coronary intervention through TAVR frames
The importance of hemodynamics over “comfort” in valve selection
This is a must-watch for interventional cardiologists aiming to merge clinical intuition with device innovation and predictive modeling for long-term outcomes.
Chapters:
00:00 – Revisiting early valve-in-valve planning
01:00 – How modeling (DOSI) predicts coronary occlusion risk 02:20 – Shortcut vs. Basilica: evolution in leaflet modification 04:00 – Purpose-built devices reducing case time and risk 05:00 – When Shortcut changes your threshold for leaflet splitting
07:00 – Lessons from redo-TAVR and pannus formation 10:00 – Why bicuspid and young patients often need surgery 13:00 – The coronary access problem that taught a hard lesson
16:00 – Commissural alignment as the key to reintervention success
18:00 – Doing left main PCI through a fresh TAVR
20:00 – Horizontal aortas and catheter flexibility
22:00 – Hemodynamics as the foundation of valve choice 24:00 – Building a lifetime valve strategy for every patient
🔔 Subscribe for more insights from interventional experts and real-world program builders.
📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687
📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA
#TAVR #StructuralHeart #ValveInValve #LeafletModification #PredictiveModeling #CommissuralAlignment #InterventionalCardiology #DOSI #CoronaryAccess #MurmurMD