Valvular & structural heart disease
Feasibility of redo-TAVI in the self-expanding ACURATE neo2 valve: a computed tomography study
Authors' conclusion
The feasibility of redo-TAVI with an S3 in an ACn2 depends on the implant depth of the S3 and the geometry of the surrounding aorta.
Study context
- Population
- Patients after TAVI with the self-expanding ACURATE neo2 (ACn2) valve, simulated redo-TAVI with balloon-expandable SAPIEN 3 (S3)post-ACn2 TAVI CT scans
- Participants
- 153 patients
- Comparison
- Low vs high S3 implant position for redo-TAVI within ACn2
- Outcome
- Risk of coronary flow compromise and coronary inaccessibility (neoskirt height and valve-to-aorta distances)
Main finding
As reported in the abstract
Risk of coronary flow compromise
Further findings
Unrestricted coronary access (predicted)
- Coronary access unrestricted with low S3 implantation
- 52%
- Coronary access unrestricted with high S3 implantation
- 13%
Independent predictors of high risk of coronary flow compromise
- Female sex, small aortic annular dimension and STJ-to-aortic annulus mean diameter ratio <1.15 were independent predictors
Original publication
Feasibility of redo-TAVI in the self-expanding ACURATE neo2 valve: a computed tomography study. EuroIntervention. Published 18 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →