ECHO 2013 / Transcatheter Aortic and Mitral Valve Replacement The Future is Now 2
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TAVR Commercial Sites
Practice Type
Government
1%
Academic
41%
Private
54%
Non-profit
4%
As of 9/26/12
TAVR Commercial Launch
Over 3,100 Commercial Cases Launch-to-Date
As of 9/26/12
TAVR Commercial Launch
Over 3,100 Commercial Cases Launch-to-Date
897 Proctored Cases Launch-to-Date
As of 9/26/12
TAVR Commercial Launch
Case Cadence per Month
20%
28%
<2 cases
2-3 cases
4+ cases
52%
As of 9/26/12
Transcatheter AVR
What‟s Needed?
TAVR – What is required?
•Careful pre-procedural screening
Vascular Access
Aortic Valve Anatomy
•Hybrid OR
Sterile environment
Advanced imaging capability
Capability to manage complications surgically or with endovascular techniques
•Heart Team
New Imaging Systems
Patient selection
Vascular Access Screening
CTA: 3D reconstruction
Assessment of Aortic Valve by MSCT
Hamdan, A. et al. J Am Coll Cardiol 2012;59:119-127
Annular Measurement
Annulus mis-sizing contributes significantly to paravalvular AR
The Annulus is not always round