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Quantitative Angiographic Assessment of Aortic Regurgitation After Transcatheter Implantation of the Venus A-valve: Comparison with Other Self-Expanding Valves and Impact of a Learning Curve in a Single Chinese Center Cover

Quantitative Angiographic Assessment of Aortic Regurgitation After Transcatheter Implantation of the Venus A-valve: Comparison with Other Self-Expanding Valves and Impact of a Learning Curve in a Single Chinese Center

Open Access
|Aug 2021

Figures & Tables

Figure 1

Cumulative percentage of different degrees of post-TAVR AR by video densitometric assessment.

AR: aortic valve regurgitation; TAVR: transcatheter aortic valve replacement.

Figure 2

Comparison of LVOT-AR after TAVR among the five THVs. Bars denote the mean regurgitation values, and error bars denote standard errors of the mean.

LVOT-AR: quantitative aortic regurgitation in the left ventricular outflow tract; TAVR: transcatheter aortic valve replacement; THV: transcatheter heart valve.

Figure 3

Cumulative frequency curves of LVOT-AR after TAVR for the five THVs. The shaded background shows the area above 17% of AR, indicating moderate or severe regurgitation.

LVOT-AR: quantitative aortic regurgitation in the left ventricular outflow tract; TAVR: transcatheter aortic valve replacement; THV: transcatheter heart valve.

Figure 4

Cumulative frequency curves of LVOT-AR for the first 56 cases and the latest 57 cases with Venus A-valve.

LVOT-AR: quantitative aortic regurgitation in the left ventricular outflow tract.

Table 1

Design features of the five THVs.

THVsSelf-expanding pericardial skirtExternal pericardial wrapOther features
Evolut Pro
(23, 26, 29 mm)
Longer than CoreValveyesPorcine pericardium tissue valve. SE Nitinol frame. Recapturable, retrievable, repositionable. Ten percent smaller in height than CoreValve. 16 Fr.
Evolut R
(23, 26, 29, 31 mm)
Longer than CoreValvenoPorcine pericardium tissue valve. SE Nitinol frame. Recapturable, retrievable, repositionable. Ten percent smaller in height than CoreValve. 14/16 Fr.
Venus-A
(23, 26, 29, 32 mm)
yesnoPorcine native aortic leaflets. SE nitinol frame. Not retrievable, repositionable. Designed with increased radial force at the initial 20 mm of the stent inflow segment. Has three positioning marker. 19 Fr.
Acurate Neo
(23, 25, 27 mm)
yesnoPorcine native aortic leaflets. SE nitinol frame. Not retrievable, repositionable, fast pacing. Minimal protrusion into LV. Top-down deployment. The self-alignment and self-centering design. 18 Fr.
CoreValve
(26, 29, 31 mm)
yesnoBovine pericardium tissue valve. SE Nitinol frame. Not recapturable, not retrievable, not repositionable. 18/20 Fr.
DOI: https://doi.org/10.5334/gh.1046 | Journal eISSN: 2211-8179
Language: English
Submitted on: Apr 2, 2021
Accepted on: Jul 20, 2021
Published on: Aug 4, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Rutao Wang, Hideyuki Kawashima, Darren Mylotte, Liesbeth Rosseel, Chao Gao, Jean-Paul Aben, Mahmoud Abdelshafy, Yoshinobu Onuma, Jian Yang, Osama Soliman, Ling Tao, Patrick W. Serruys, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.