Part 3: How CT Scans Help Plan Safe Heart Valve Procedures | Dr. Vivek Kumar | ACCC’25 Day 1

In the final session of this educational series, Dr. Vivek Kumar presents a range of real-world cases that demonstrate how CT imaging directly influences valve selection in TAVI. He discusses why balloon-expandable valves can pose higher risks in patients with significant annular or LVOT calcification, while self-expanding valves may offer greater adaptability in such anatomies. Dr. Kumar compares clinical outcomes based on sinus size, annulus shape, and ascending aorta dimensions, guiding clinicians on how to tailor valve choices to each patient’s anatomy. He also highlights scenarios where self-expanding valves should be avoided, such as in patients with narrow sinuses or large annuli, and underscores the need to consider long-term coronary access and lifetime valve management, especially in younger or lower-risk individuals. Dr. Kumar’s concluding message emphasizes that CT imaging is not just a planning tool but a cornerstone of safe and effective TAVI, helping ensure precision, patient-specific strategies, and optimal long-term results.

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