Meril Octacor TAVI implants

Proud to share another milestone for Swansea Bay University Health Board Morriston Hospital - I've successfully performed our first two Meril Octacor TAVI implants recently with Dr Ayush Khurana and our fantastic Cath lab team in patients with large aortic annuli. Both had annular/ LVOT calcium mandating accurate device sizing.

1st patient - 59yo gent, inpatient, admitted with syncope and severe AS with poor LV who flatly refused surgery despite multiple reviews by cardiac surgery. Type 2 bicuspid AV with calcific and fibrotic raphes. Annulus >800mm2, severe annular and LVOT calcium but both measurements in range for nominal volume 32mm Meril Octacor THV. Very difficult BAV - 4 inflations needed to crack the valve. Satisfactory deployment with single digit gradient and mild AR. We were apprehensive of annular/ LVOT injury but thankfully no issues were encountered in what was a tough case. Minimal oversizing due to precise THV prosthesis selection with respect to annular and LVOT dimensions enabled a safe implant in a hostile aortic root - certainly an area of unmet clinical need.

2nd patient - Type 1 bicuspid AV with a severe calcific raphe. LVOT calcification. Again both annulus and LVOT well in range for nominal volume 30.5mm Meril Octacor THV. Beautiful result with single digit gradient and no AR.

It’s indeed a privilege that we can offer our patients in South Wales the right TAVI valve prostheses as dictated by their anatomy. Thanks for your encouragement and support Prof Alex Chase and for seeing through last minute logistics to make this happen! Grateful to Dr Manik Chopra for expert proctoring and to the team at Meril Pranav Pandya Yamin Zarolia Edward White for helping us in getting the cases done safely and successfully. Kudos as ever to our amazing cathlab, TAVI, and wider 🫀 teams whose hard work and dedication make these wonderful things happen. 🙏

Touched by this wonderful 🇮🇳 🏴󠁧󠁢󠁷󠁬󠁳󠁿 🇬🇧 collaboration to help our patients😊