How AI and Predictive Modeling Are Changing TAVR Valve Selection with Dr. Matthew Summers and Dr. Aidan Raney

TAVR has come a long way—from a high-risk bailout procedure to a precision-driven, patient-specific therapy.In this MurmurMD case discussion, Dr. Matt Summers (Sentara Heart Valve Center) joins Dr. Aiden Raney to explore how new data, AI modeling, and simulation tools like DASI are transforming how interventionalists choose between self-expanding and balloon-expandable valves. A real look into contemporary approaches to valve therapy decisions.Key insights covered:The evolution from procedural survival to lifetime valve strategyHow hemodynamics and durability data are reshaping valve selectionUsing predictive modeling (DASI) to prevent annular rupture and coronary occlusionReal-world lessons from redo TAVR and valve-in-valve proceduresWhy commissural alignment and cusp overlap have changed the gameWhat next-generation AI tools mean for precision TAVR planningHow large-volume centers are integrating data, imaging, and simulation into every caseThis conversation bridges clinical intuition with digital precision, offering a glimpse into how the next era of TAVR will be designed—patient by patient, model by model.Chapters:00:00 – Introduction and evolution of TAVR therapy 01:00 – From high-risk to precision: how TAVR decision-making has evolved 02:30 – Valve selection: BEV vs SEV and the 16 decision factors 04:00 – Durability, hemodynamics, and small annulus data 06:00 – What the SMART and Notion trials revealed about performance 08:00 – Coronary access, explant, and the penalty of being wrong 10:00 – AI modeling and pre-procedural simulation (DASI) 12:00 – Predicting rupture, occlusion, and leaflet modification needs 14:00 – Impact of modeling on procedural planning and outcomes 16:00 – Planning for the second valve: true lifetime management 18:00 – Future vision: Precision TAVR through AI-guided design🔔 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/UCfrLYhAhliQ2ZvXinkDCZvA#TAVR #StructuralHeart #InterventionalCardiology #MurmurMD #PredictiveModeling #DASI #ValveSelection #HeartValve #CathLabInnovation