Valvular & structural heart disease

Thirty-day and one-year outcomes of the Navitor transcatheter heart valve in patients with aortic stenosis: the prospective, multicentre, global PORTICO NG Study

EuroInterventionPublished Prospective single-arm investigational study

Authors' conclusion

The PORTICO NG Study demonstrates low rates of adverse events and PVL up to 1 year in patients at high or extreme surgical risk, confirming the safety and efficacy of the Navitor THV system.

Study context

Population
Symptomatic severe AS at high or extreme surgical riskCE mark cohort
Participants
120 participants
Outcome
All-cause mortality and moderate or greater PVL
Follow-up
30 days
Methodological detailsmulticentre, global, independent clinical events committee and echocardiographic core laboratory, Follow-up at 30 days, 1 year, and annually up to 5 years
  • Multicentre
  • Global
  • Independent clinical events committee and echocardiographic core laboratory
  • Follow-up at 30 days, 1 year, and annually up to 5 years

Main finding

As reported in the abstract

All-cause mortality

0%

Moderate or greater paravalvular leak (PVL) (no subjects)

0

Observational data: associations, not effects.

Further findings

Procedural success

Procedural success
97.5%

All-cause mortality · up to 1 year

All-cause mortality
4.2%

Moderate PVL · up to 1 year

Moderate PVL
1.0%

Haemodynamic performance · sustained up to 1 year

Mean gradient (mmHg)
7.5±3.2
Effective orifice area (cm²)
1.9±0.4

Safety

VARC-2 events · 30 days

Disabling stroke
0.8%
Life-threatening bleeding
2.5%
Stage 3 AKI
0%
Major vascular complications
0.8%
New pacemaker implantation
15.0%

Disabling stroke · up to 1 year

Disabling stroke
0.8%

Original publication

Thirty-day and one-year outcomes of the Navitor transcatheter heart valve in patients with aortic stenosis: the prospective, multicentre, global PORTICO NG Study. EuroIntervention. Published 19 June 2023. doi:10.4244/eij-d-22-01108

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