Explorez tous les épisodes du podcast PCR Perspectives
| Titre | Date | Durée | |
|---|---|---|---|
| FAITAVI - Major Late-Breaking Trial from EuroPCR 2025 | 21 Aug 2025 | 00:07:52 | |
Stephan Windecker and Flavio Ribichini review the outcomes of the FAITAVI trial, presented during the #europcr 2025 LBT session. As coronary artery disease is the most common cardiac comorbidity in patients undergoing TAVI, the trial set out to evaluate whether physiology-guided decision-making could offer better clarity. When performing diagnostic angiography before TAVI, clinicians often find intermediate coronary lesions that don’t obviously require revascularisation — so what's the right strategy in these cases? FAITAVI is the first randomised trial comparing angiography-guided versus FFR-guided PCI decisions in the TAVI setting. Learn more about the study design, inspired by FAME-1, and how the results support the feasibility and value of FFR measurements in patients with CAD undergoing TAVI. The data also confirm that intermediate lesions can safely be left untreated. Listen to this episode now to understand how these findings could change practice! Hosted on Acast. See acast.com/privacy for more information. | |||
| First guidelines for the treatment of LM disease issued by SOLACI and SIAC | 14 Aug 2025 | 00:05:24 | |
Cleverson Zukowski and Pablo Lamelas take a moment during #europcr 2025 to shed light on a major regional milestone: the first-ever guidelines for the treatment of left main disease, issued jointly by the Latin American Society of Interventional Cardiology (SOLACI) and the Interamerican Society of Cardiology (SIAC). Why were these guidelines created specifically for Latin America? What are their key recommendations? And how can they be applied in day-to-day practice, especially when deciding between PCI and surgery? Tune in to hear how these guidelines reflect the region’s unique healthcare challenges and may help tailor treatment to the specific needs of Latin American patients. Hosted on Acast. See acast.com/privacy for more information. | |||
| What are the essential aspects of transcatheter LAA closure? | 07 Aug 2025 | 00:07:27 | |
In this #europcr 2025 exchange, Ole De Backer and Philippe Garot explore the evolving landscape of transcatheter left atrial appendage (LAA) occlusion. From differences in patient selection on either side of the Atlantic—high bleeding risk in Europe vs. broader indications in the US—to upcoming pivotal trials comparing LAA closure to DOACs, this conversation covers it all. They also break down what defines a state-of-the-art LAA procedure, with an emphasis on pre-procedural imaging (cardiac CT or 3D TEE), and share key insights on post-procedural management, including antithrombotic therapy and follow-up imaging. Hit play for a quick yet comprehensive update on where LAA closure is headed. Hosted on Acast. See acast.com/privacy for more information. | |||
| How to successfully approach CTO interventions: a step-by-step approach | 31 Jul 2025 | 00:20:59 | |
Elliot Smith, Thomas Hovasse, and Roberto Garbo present a structured, step-by-step approach to chronic total occlusion (CTO) interventions, starting from angiographic analysis through to strategy selection and technique adaptation. The discussion begins with angiographic assessment, emphasising the importance of identifying key anatomical features upfront. Based on this evaluation, operators determine the most appropriate strategy—typically beginning with an antegrade approach, with readiness to escalate to retrograde or dissection techniques depending on case complexity and progression. The panel outlines essential tools for CTO procedures, including a 7 Fr guiding catheter, various wires (from soft to stiff), and microcatheters, while also addressing how these tools are introduced into routine practice. Attention is given to operator experience, decision-making flexibility, and technique sequencing. In parallel, the importance of progressive skill acquisition is highlighted. Failure is positioned not as an endpoint, but as a learning opportunity—integral to refining technique and gaining confidence. Listen to this discussion for structured guidance on navigating CTOs in a safe and effective way. Hosted on Acast. See acast.com/privacy for more information. | |||
| What is the optimal TAVI access approach in contemporary practice? | 06 May 2025 | 00:05:36 | |
What is the optimal TAVI access approach in today’s practice? In this conversation at PCR London Valves 2024, Ole De Backer and Maarten Vanhaverbeke break down the latest evidence and trends in TAVI access. Watch this video to learn about the dominance of transfemoral access, the role of alternative routes like transcarotid and transaxillary, the growing use of cutting-edge tools like intravascular lithotripsy and orbital atherectomy, and much more! Hosted on Acast. See acast.com/privacy for more information. | |||
| What do we know about bleeding risk & antithrombotic management after tricuspid valve interventions? | 29 Apr 2025 | 00:06:05 | |
How do we navigate the thin line between bleeding risk and thrombosis in high-risk patients undergoing tricuspid valve interventions? Marianna Adamo and Fabien Praz explore the latest strategies in anticoagulation, the challenges of managing complex cases and how cutting-edge research is shaping the future of care. Listen to this podcast to discover the keys to optimizing outcomes in this rapidly evolving field! Hosted on Acast. See acast.com/privacy for more information. | |||
| What are the key specific considerations for TAVI in women? | 22 Apr 2025 | 00:06:22 | |
Curious about the specific considerations for TAVI in women? Martine Gilard and Dan Blackman highlight the challenges women face in the diagnosis and treatment of aortic stenosis (underrepresentation, later presentation, undertreatment...) while exploring key anatomical differences (smaller aortic anatomy, less calcification...), and how these factors impact diagnostic thresholds, imaging and valve selection. Hosted on Acast. See acast.com/privacy for more information. | |||
| SAVR or TAVR: what is best for female patients? | 15 Apr 2025 | 00:04:07 | |
Wondering which is the better option for female patients—SAVR or TAVR? Don’t miss this exchange between Hendrik Treede and Hélène Eltchaninoff. They explore the unique challenges and nuances of valve interventions for women, highlighting evolving strategies to optimize treatment and improve outcomes. Hosted on Acast. See acast.com/privacy for more information. | |||
| Predictors and clinical relevance of residual tricuspid regurgitation after transcatheter repair | 08 Apr 2025 | 00:05:18 | |
Curious about the latest advancements in transcatheter tricuspid valve interventions? Don't miss this discussion between Philipp Lurz and Lukas Stolz at PCR London Valves 2024! They delve into the topic of residual tricuspid regurgitation after transcatheter repair—a challenge that still needs improvement despite significant progress. Hosted on Acast. See acast.com/privacy for more information. | |||
| Nurses and Allied Professionals: How to safely discharge your patient post TAVI? | 01 Apr 2025 | 00:04:54 | |
What does it take to ensure a smooth, safe, and confident discharge for TAVI patients? Sarah Carson and Gemma McCalmont share valuable insights and practical strategies. From pre-assessment planning and early mobilization to managing complications and preparing patients for recovery, this video offers essential tips for streamlining the discharge process! Hosted on Acast. See acast.com/privacy for more information. | |||
| How to manage the complexity of multivalve disease? | 25 Mar 2025 | 00:03:13 | |
Curious about how to manage the complexities of multivalve disease? Listen to this conversation between Tiffany Patterson and Philipp Lurz at PCR London Valves 2024. They share their approach to treating patients with multiple valve issues (aortic stenosis, mitral regurgitation, tricuspid regurgitation...) and discuss strategies for deciding which valve to treat first, the challenges of managing these patients and the importance of a multidisciplinary approach. Hosted on Acast. See acast.com/privacy for more information. | |||
| How to manage conduction disturbances after tricuspid valve interventions? | 18 Mar 2025 | 00:05:26 | |
Interested in how to manage conduction disturbances after tricuspid valve interventions? Rodrigo Estevez-Loureiro and Marianna Adamo explore the mechanisms behind this common complication, discuss potential predictors and provide practical strategies for management during and after the procedure. Hosted on Acast. See acast.com/privacy for more information. | |||
| How can multi modality imaging contribute to the assessment of multivalve disease? | 11 Mar 2025 | 00:03:34 | |
Interested in how multi-modality imaging aids in evaluating? Joao Cavalcante and Madalina Garbi explore the challenges of relying solely on echocardiography for diagnosing multivalve disease and explain how techniques like CT and MRI improve the accuracy of assessing valve severity, heart chamber remodeling and support decision-making in these challenging cases. Hosted on Acast. See acast.com/privacy for more information. | |||
| Nurses and Allied Professionals: How does frailty and cognition impact patient selection for TAVI? | 04 Mar 2025 | 00:03:21 | |
How do frailty and cognitive function shape patient selection for TAVI? At PCR London Valves 2024, Karen Wilson and Lynne Hinterbuchner discuss the essential role of screening and assessment in identifying suitable candidates, highlighting tools like the Edmonton scale and emphasizing the importance of a multidisciplinary approach to prehabilitation. Hosted on Acast. See acast.com/privacy for more information. | |||
| Early detection and treatment of aortic stenosis | 25 Feb 2025 | 00:06:42 | |
Want to learn about the latest advancements in the early detection and treatment of aortic stenosis? Mayra Guerrero and Philippe Genereux delve into the benefits of early intervention (even in asymptomatic patients), discuss the optimal timing for treatment and explore how artificial intelligence can enhance diagnosis, particularly in underserved areas. Hosted on Acast. See acast.com/privacy for more information. | |||