As TAVI expands into younger and lower-risk patient populations, valve selection is becoming increasingly important for long-term patient management.  In this exclusive interview, Dr Philipp Seppelt discusses the move beyond procedural success towards a lifetime management approach, with a particular focus on preserving future coronary access.  Watch now 👉 transcatheteracademy.com/vid… This interview is sponsored by Abbott.

What can surgical valves teach us about the relationship between early haemodynamics and long-term durability? Dr Tsuyoshi Kaneko examines why strong short-term haemodynamic performance does not necessarily translate into better long-term valve durability. Catch up on 'Nail It With Nadira: The Next Chapter in AV Replacement' on demand 👉 ow.ly/CEA850ZRx38 This webinar is supported by an unrestricted educational grant from Edwards Lifesciences. #StructuralHeart #TAVR #AorticStenosis #HeartTeam #InterventionalCardiology

Does every calcified left main lesion require atherectomy? In this live case from Clinique Saint Augustin, Dr Oliver Darremont and Dr Nicolas Boudou discuss how IVUS helped determine that additional calcium modification was not required following successful balloon expansion. #LeftMainPCI #IVUS #BifurcationPCI

Prof Marta Sitges explores why follow-up imaging matters after aortic valve intervention, including baseline echocardiography, long-term surveillance and the role of cardiac CT in assessing valve dysfunction. 🔗 Watch the full session: ow.ly/JiX450ZS7Cj This symposium is supported by Medtronic. #AorticStenosis #TAVI #CardiacImaging

In this case-based presentation, Dr Firas Zahr demonstrates the role of Philips VeriSight Pro 3D intracardiac echocardiography (ICE) in guiding transcatheter tricuspid valve replacement (TTVR) with the EVOQUE valve. During this procedural step, Dr Firas Zahr assesses device orientation and positioning, including the relationship between the implant trajectory, septal structures and tricuspid valve anatomy. The clip highlights the importance of tailoring device positioning to individual anatomy, particularly in cases with a short and tethered septal leaflet. By adjusting the depth and trajectory of the system, the team aims to optimise alignment and support effective valve deployment. A practical demonstration of how detailed anatomical assessment and real-time ICE guidance can help navigate challenging tricuspid anatomies during TTVR. #TTVR #TricuspidRegurgitation #StructuralHeart #ICE #EVOQUE #InterventionalCardiology

Should frailty matter more than age when deciding whether an older patient with #NSTEMI undergoes invasive management? EVAOLD stopped early after enrolling 587 of a planned 1,756 patients, leaving important questions unanswered. "We need to be courageous in making that decision." - Prof @VijayKunadian in conversation with Prof @nicolasamabile & Dr @mirvatalasnag What factor influences your decision most? 🔹 Frailty 🔹 Comorbidity burden 🔹 Cognitive status 🔹 Patient preference ▶️ Watch the discussion: radc.life/81alKcu8 #Cardiology #NSTEMI #PCI

IVUS-guided decision-making in left main bifurcation PCI In this live case from Clinique Saint Augustin, operators use IVUS pullback to assess distal left main disease and guide stent strategy for a complex bifurcation lesion. #LeftMainPCI #IVUS #BifurcationPCI

In this case-based presentation, Dr Firas Zahr demonstrates the use of Philips VeriSight Pro 3D intracardiac echocardiography (ICE) during transcatheter tricuspid valve replacement (TTVR) with the EVOQUE valve. During this stage of the procedure, Dr Firas Zahr highlights how ICE catheter positioning can be adjusted to improve visualisation of key procedural landmarks, including the capsule gap and device depth relative to the tricuspid annulus. The clip demonstrates how small changes in imaging angle and catheter position can help move the ICE view away from the EVOQUE delivery system, providing clearer assessment of the capsule gap and surrounding anatomy. This enhanced visualisation supports evaluation of device trajectory, anatomical relationships and procedural positioning during complex tricuspid valve replacement. A practical insight into how advanced ICE imaging can help guide TTVR procedures in challenging anatomies. #TTVR #TricuspidRegurgitation #StructuralHeart #ICE #EVOQUE #InterventionalCardiology

In Physiology & the LM Live Case from Hospital Clínic de Barcelona, Spain, Dr Carlos Collet discusses the role of coronary physiology in complex revascularisation decision-making. Dr Carlos Collet explains why physiological assessment of the culprit vessel during ACS requires careful interpretation, as myocardial injury and changes in hyperaemic response can influence the reliability of lesion severity assessment. He highlights how pullback analysis can provide additional information by demonstrating the distribution of resistance across the vessel, helping operators better understand lesion characteristics and guide treatment strategy. The discussion forms part of a broader exploration of how physiology and imaging can be integrated when assessing complex lesions, including left main and bifurcation disease. A practical perspective on when physiology can support decision-making and where its limitations should be considered. #InterventionalCardiology #CoronaryPhysiology #LeftMainDisease #PCI #Cardiology

🔴 Just 48 hours remain until 'Mitral-Tricuspid Heart Team: You Make the Call'. Secure your place 🔗 radcliffecardiology.com/webi… Join co-chairs Prof Rafal Dworakowski and Dr Soh Hosoba alongside Dr Mike Saji, Dr Julian Kenrick Loh, Dr Wen-Loong Yeow, and Dr Mehdi Eskandari. Hear expert perspectives, explore real-world considerations and submit your questions to the panel live! Don't miss practical insights into optimal patient selection, precise timing and the correct procedural sequence in complex or multivalvular disease. 👋 See you there! #StructuralHeart #TAVI #ValveInValve #InterventionalCardiology #Cardiology

Isabel Peterson explores how to streamline the #AorticStenosis patient pathway, from referral and assessment through valve coordination, treatment and discharge. 🔗 Watch the full session: ow.ly/c3z850ZS7Af This symposium is supported by Medtronic. #TAVI #StructuralHeart #InterventionalCardiology

🫀 How do you integrate imaging, haemodynamics and Heart Team discussion when evaluating tricuspid regurgitation? This webinar brings together Dr Nadira Hamid, Dr Fabien Praz, Prof Erwan Donal, Dr Edwin Ho, Dr Davide Margonato, Dr Omar Khalique and Dr Julien Dreyfus to examine the foundations of contemporary tricuspid regurgitation (TR) assessment. 🗓️ 12 October | 12:00 CDT | 13:00 EDT | 18:00 BST Secure your place now 🔗 transcatheteracademy.com/web… This webinar is supported by Philips.

In the Structural Heart Academy APAC Webinar Series, Dr Adam Sung discusses a complex procedural scenario during transcatheter mitral valve intervention, highlighting the importance of recognising and managing complications during transseptal access. During this case, Dr Adam Sung reviews the development of increasing pericardial effusion following transseptal puncture and the subsequent haemodynamic compromise requiring urgent pericardiocentesis. The discussion focuses on the diagnostic process behind identifying the source of bleeding, including differentiation between potential atrial or septal injury and left ventricular injury. By analysing pericardial fluid characteristics and procedural context, the team considered the potential impact of previous interventions on the current procedure. A practical case-based discussion on complication recognition, investigation and decision-making during complex structural heart procedures. #StructuralHeart #MitralRegurgitation #TEER #InterventionalCardiology #HeartTeam

What is the impact of the index valve failure mechanism on reintervention strategy? Prof Giuseppe Tarantini explores how valve failure may influence second-valve positioning, coronary obstruction risk and future coronary access. Now available on demand 🔗 ow.ly/5QAF50ZRwVy This webinar is supported by an unrestricted educational grant from Edwards Lifesciences. #StructuralHeart #TAVR #ValveDurability #InterventionalCardiology

How should low-flow, low-gradient #AorticStenosis be assessed? Prof Nicolas Van Mieghem explores stress echocardiography, cardiac CT calcium scoring and the role of pre-procedural CT in treatment planning and lifetime management. 🔗 Watch the full session: ow.ly/awmt50ZS7yU This symposium is supported by Medtronic. #TAVI #CardiacImaging #StructuralHeart

A closer look at a real-world EVOQUE transcatheter tricuspid valve replacement (TTVR) case, recorded at Ludwig-Maximilians University in Munich, featuring Prof Jörg Hausleiter demonstrating the step-by-step delivery approach. The case highlights key procedural steps, including catheter positioning at the IVC–right atrial junction, controlled sheath retraction and careful system flexion to facilitate advancement into the right ventricle. A practical insight into delivery technique, imaging guidance and procedural workflow during transcatheter tricuspid intervention. #Transcatheter #TricuspidIntervention #TTVR #StructuralHeart

As part of the Nail It With Nadira: Evolution of 3D ICE Imaging in TTVR series, Dr Pradeep Yadav highlights the importance of advanced imaging guidance during complex transcatheter tricuspid valve replacement (TTVR) procedures. Dr Pradeep Yadav discusses how intracardiac echocardiography (ICE) can support challenging cases involving multiple leads and intracardiac hardware, where conventional imaging may be limited by artefact and anatomical complexity. The case demonstrates how ICE can provide detailed visualisation of right-sided anatomy, including lead position, catheter interaction and device relationships during intervention. He highlights the value of ICE-derived multiplanar reconstruction in navigating complex anatomies, including cases involving coronary sinus leads crossing the tricuspid valve and ICD leads that can create significant imaging challenges. A practical example of how advanced imaging is helping expand the possibilities of TTVR in complex patients. #TTVR #TricuspidRegurgitation #StructuralHeart #ICE #InterventionalCardiology #HeartTeam

In the Structural Heart Academy APAC Webinar Series, Prof Andrew Cook explores the detailed anatomy of the mitral valve and its relevance for transcatheter edge-to-edge repair (TEER) strategies in secondary mitral regurgitation. Prof Andrew Cook explains how the anterior and posterior leaflets interact to achieve effective coaptation, highlighting the role of folds and indentations within the posterior leaflet that allow it to accommodate the curved profile of the anterior leaflet. He also clarifies an important anatomical distinction between posterior leaflet clefts and true congenital mitral valve clefts, which involve a division of the anterior leaflet extending towards the aortic root. Understanding these anatomical features is essential when assessing leaflet morphology and planning effective grasping strategies during TEER procedures. #StructuralHeart #MitralRegurgitation #TEER #MitralValve #InterventionalCardiology

🫀 Optimizing a tricuspid regurgitation (TR) program requires more than technology alone. This webinar will explore practical strategies for optimizing patient pathways and access to care 🔗 ow.ly/ZNMW50ZSBAf Faculty Santiago Garcia, MD, Richard Bae, MD, and Nadia El Hangouche, MD from The Christ Hospital will share their real-world experience with the EVOQUE tricuspid valve replacement system. 🫀 Through case-based presentations and expert discussion, faculty will explore referral pathways, patient selection, imaging assessment, multidisciplinary collaboration, and strategies to improve patient access to transcatheter tricuspid valve replacement (TTVR). 🗓️ October 14th | 4 PM PDT | 7 PM ET ⚠️ Important Safety Info: ow.ly/Z1p150ZSBAg #StructuralHeart #TricuspidRegurgitation #TTVR #Cardiology #HeartTeam #EVOQUE #InterventionalCardiology PP--US-13257

🫀 Discover how multimodality imaging, invasive haemodynamics and collaborative Heart Team decision-making can support effective assessment and management of tricuspid regurgitation (TR). Join Dr Nadira Hamid, Dr Fabien Praz, Prof Erwan Donal, Dr Edwin Ho, Dr Davide Margonato, Dr Omar Khalique and Dr Julien Dreyfus for a special Radcliffe Edition of 'Nail It With Nadira'. The expert faculty will provide a practical roadmap for evaluating patients with TR and identifying candidates for transcatheter intervention. 🗓️ 12 October | 12:00 CDT | 13:00 EDT | 18:00 BST Register now 🔗 transcatheteracademy.com/web… This webinar is supported by Philips.