Valvular & structural heart diseaseResearch article

6-Month Outcomes of a Supra-Annular Transcatheter Mitral Valve Replacement

JACC Cardiovasc IntervPublished

  • Early feasibility study
  • single-arm
  • independent core laboratory
  • independent clinical events committee
  • Median follow-up 182 days (Q1-Q3: 171-191 days)

Authors' conclusion

Among patients with significant MR, the AltaValve TMVR system was feasible, safe, and associated with good valve function at 6 months.

Study context

Population
Patients with symptomatic mitral regurgitation (MR) unsuitable for surgerymedian age 77 years
Participants
30 patients
Outcome
Technical success (no procedural mortality; successful implant delivery and deployment; successful delivery system retrieval; no implant-related emergency surgery or re-intervention)

Main finding

As reported in the abstract

Procedural success

Procedural success

29 of the 30 cases (96.7%; 95% CI: 82.8%-99.9%)

Further findings

Reduction to mild or less MR · 30 days and 6 months

Achieved in all surviving patients at 30 days; maintained in all but 1 patient at 6 months

Functional class and quality of life

Significant improvements

Safety

Stroke, new pacemaker implantation, mitral valve reintervention · within 6 months

No strokes, new pacemaker implantations or mitral valve reinterventions

Original publication

6-Month Outcomes of a Supra-Annular Transcatheter Mitral Valve Replacement. JACC Cardiovasc Interv. Published 10 November 2025. doi:10.1016/j.jcin.2025.08.040

Summarised from the published abstract; every number is checked against it