TAVR Explant: When, Why, and How to Safely Remove a Transcatheter Valve with Dr. Clinton Kemp and Dr. Matt Summers

As TAVR expands into younger and lower-risk populations, TAVR explant is no longer a theoretical problem — it’s a real and growing clinical scenario.In this MurmurMD discussion, Dr. Clinton Kemp and Dr. Matt Summers walk through the indications, technical challenges, and operative considerations involved in TAVR explant, emphasizing why early planning and multidisciplinary alignment are critical for patient outcomes.Topics covered directly from the transcript include:• Common indications for TAVR explant, including endocarditis, valve failure, and patient–prosthesis mismatch• Why TAVR explant is fundamentally different from native SAVR• Timing considerations: early vs late explant• How valve type and frame design affect surgical strategy• Annular, coronary, and aortic root risks during explant• Managing adhesions and embolization• When partial explant or valve-in-valve may be preferable• The importance of preoperative imaging and surgical planning• Why TAVR explant requires true heart team collaboration• How explant considerations should influence initial TAVR valve selectionA must-watch discussion for structural heart teams navigating the long-term implications of TAVR therapy.🔔 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 – Why TAVR explant is becoming more common 01:00 – Indications that lead to explant consideration 02:00 – Early vs late TAVR explant: what changes technically 03:00 – Valve design and frame considerations 04:00 – Surgical risks to the annulus, coronaries, and root 05:00 – Managing endothelialization and adhesions 06:00 – When valve-in-valve is not the right answer 07:00 – Imaging and preoperative planning essentials 08:00 – Heart team decision-making for explant cases 09:00 – How explant risk should influence initial TAVR choice 10:00 – Key takeaways for structural programs#TAVR #StructuralHeart #ValveExplant #CardiacSurgery #HeartTeam #AorticValve #InterventionalCardiology #MurmurMD