Cusp Overlap Technique for SEV: Deep Dive on Controlling Implant Depth and Conduction Risk with Dr. Frogge and Dr. Summers

The cusp overlap technique has become an important strategy during TAVR with self-expanding valves to improve implant depth control and reduce conduction disturbances.In this MurmurMD discussion, Dr. Nathan Frogge and Dr. Matthew Summers walk through how and why they use the cusp overlap technique, focusing on fluoroscopic positioning, implant depth control, and procedural workflow adjustments.Key discussion points from the transcript include:• Why implant depth is critical in self-expanding TAVR valves• The relationship between implant depth and conduction system injury• How the cusp overlap view improves visualization of the non-coronary cusp• Fluoroscopic projection setup and imaging angles• Deployment technique and depth control strategies• Procedural workflow when using cusp overlap routinely• Lessons learned from operators using cusp overlap in practiceThis discussion provides practical insight into how cusp overlap helps operators control valve implantation and reduce conduction complications during TAVR.🔔 Subscribe for more insights from interventional experts and real-world program builders.📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvAChapters:00:00 – Introduction to cusp overlap technique in TAVR 00:40 – Why implant depth matters for self-expanding valves 01:30 – Conduction disturbances and valve depth 02:20 – Setting up the cusp overlap fluoroscopic view 03:10 – Deployment technique and depth control 04:00 – Workflow adjustments using cusp overlap 05:00 – Imaging and positioning tips 06:00 – Lessons learned and key takeaways#TAVR #StructuralHeart #CuspOverlap #SelfExpandingValve #ConductionSystem #InterventionalCardiology #CathLab #MurmurMD