New Developments in TAVI

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Transcatheter Aortic Valve Implantation (TAVI), also called Transcatheter Aortic Valve Replacement (TAVR), is a minimally invasive interventional procedure that has dramatically changed the treatment landscape for patients with severe aortic stenosis. Originally developed for patients deemed high or prohibitive risk for surgical aortic valve replacement (SAVR), its use has broadened to include intermediate and low‑risk patients. Recent guideline updates, including the 2025 ESC/EACTS Valvular Heart Disease Guidelines, reflect this shift, advocating earlier intervention in appropriate patients and integrating TAVI as a viable alternative to SAVR based on age, anatomy, and life expectancy, not just operative risk.

7 Modules1 hour
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New Developments in TAVI

Learning Outcomes

What you'll learn

  • Explain how indications for TAVI have expanded and the role of updated guidelines.
  • Identify current innovations in TAVI devices and procedural techniques.
  • Understand advanced patient selection, including complex anatomies like bicuspid valves.
  • Discuss long‑term durability and reintervention strategies.
  • Recognise peri‑procedural and post‑procedural considerations, including imaging and risk reduction.
  • Apply evidence‑based principles in clinical decision‑making and patient counselling.

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Training Overview

  • Evolution of TAVI Indications and Guidelines
  • Device Innovations and Technical Improvements
  • Advanced Patient Selection and Imaging
  • Peri‑Procedural and Fast‑Track Care Pathways
  • Durability, Reintervention, and Long‑Term Management
  • Emerging Clinical Scenarios and Future Directions
  • Summary
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Frequently asked questions

Transcatheter Aortic Valve Implantation is a minimally invasive procedure to replace a diseased aortic valve.

Guidelines now recommend TAVI across a wider spectrum of surgical risk, focusing on age and life expectancy.

New valves and delivery systems improve procedural safety, address complex anatomies, and reduce complications.

It enhances patient selection, procedural planning, and risk reduction.

Repeating TAVI when prosthetic degeneration occurs is an emerging reintervention strategy.

Valve durability and lifetime management require ongoing follow‑up to detect degeneration or complications.