Valvular & structural heart disease

Incidence, predictors, and clinical impact of hypoattenuating leaflet thickening following SAPIEN 3 Ultra RESILIA implantation

EuroInterventionPublished Prospective registry study

Authors' conclusion

The incidence of HALT for the S3UR was comparable with the already reported incidences for the previous-generation SAPIEN 3 THV.

Study context

Population
Patients undergoing transcatheter aortic valve implantation (TAVI) with the SAPIEN 3 Ultra RESILIA (S3UR) transcatheter heart valve (THV) with cardiac computed tomography (CT) 30 days after implantation
Participants
445 patients
Outcome
HALT on 4D CT
Follow-up
30 days after TAVI
Methodological detailssubset of the OCEAN-TAVI registry, independent core laboratory
  • Subset of the OCEAN-TAVI registry
  • Independent core laboratory

Main finding

As reported in the abstract

HALT incidence

Hypoattenuating leaflet thickening (HALT) detected (of 445 patients)

95

21.3%

Observational data: associations, not effects.

Further findings

≤23 mm vs ≥26 mm

HALT incidence by THV size

P = 0.636

HALT >25% vs HALT ≤25%

Mean aortic gradient by HALT >25% vs ≤25% · 30 days

P = 0.007

HALT >50% vs HALT ≤50%

Mean aortic gradient by HALT >50% vs ≤50% · 30 days

P = 0.002

Independent predictors of HALT

Hourglass-shaped THV frame
P < 0.001
Asymmetricity of THV leaflets
P = 0.002

Original publication

Incidence, predictors, and clinical impact of hypoattenuating leaflet thickening following SAPIEN 3 Ultra RESILIA implantation. EuroIntervention. Published 14 November 2025. doi:10.4244/eij-d-25-00523

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