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Presented by the India Heart Foundation as part of its acclaimed Let’s Talk TAVI CME initiative, this webinar features renowned interventional cardiologist Dr. Susheel Kodali (MD, New York) delving into the challenges of vascular access and complication management in structural heart procedures. Using case-based examples, Dr. Kodali outlines keys to procedural success, starting from detailed risk assessment, interpreting CT and angiographic data, to executing meticulous techniques that prevent and address vascular injuries. He emphasizes the role of endovascular bailout strategies, highlighting how choice of technique depends on the location and nature of the complication. Featured Experts: Panelist: Dr. Ganesh Manoharan, MD – Royal Victoria Hospital, Belfast, UK Convenor: Dr. Sai Satish, MD, DM – Chennai, India An insightful learning experience for cardiologists, fellows, and care teams involved in TAVI and structural heart interventions. #LetsTalkTAVI #TAVI #TAVR #StructuralHeart #HeartValveTherapy #InterventionalCardiology #CardiologyWebinar #MedicalEducation #EndovascularTherapy #CTGuidedIntervention #CardiovascularInnovation #IndiaHeartFoundation 0:00 Introduction 0:08 Keys to Success 2:02 Evaluate Calcification - Vascular MIP 2:47 Manage Vascular Access 3:41 Prophylactic Crossover Balloon Occlusion Technique (CBOT) 4:44 Sheath Removal 5:20 Balloon inflation for treatment or dry closure 5:38 Completion Angiogram Every Case 8:51 Endovascular Bail-Out Techniques 9:17 CBOT allows faster and easier complication management 11:01 COBT for CFA Access Site Complication 11:26 Crossover with wiring of true lumen 11:38 Prolonged balloon inflation 11:53 CBOT Allows Salvage of Potentially Catastrophic Complications 12:50 Aortic Occlusion Balloon 13:37 Successful rescue with aortic endograph 14:22 Shockwave and eSheath insertion 14:37 Successful TAVR 14:49 What's new? Next Generation large-bore arterial closure devices