Valvular & structural heart diseaseCohort study

Transcatheter Treatment of Native Aortic Valve Regurgitation

JACC Cardiovasc IntervPublished

  • Observational registry
  • multicentre
  • compassionate use

Authors' conclusion

The J-Valve appears to provide a safe and effective alternative to surgery in patients with pure AR and elevated or prohibitive surgical risk.

Study context

Population
Patients with severe symptomatic native AR and elevated surgical risk, North America, 2018–2022
Participants
27 patients

Main finding

As reported in the abstract

Procedural success (delivered to intended location without surgical conversion or a second transcatheter heart valve)
GroupValueLast 15 cases
J-Valve81%100%

Observational data: associations, not effects.

Further findings

Procedural success, last 15 cases

Procedural success in the last 15 cases
100%

NYHA class I or II · 30 days

Patients in NYHA class I or II
88%

Residual AR of moderate or greater degree · 30 days

No patient had residual AR of moderate or greater degree

Death, stroke, new pacemaker · 30 days

Death
1
Stroke
1
New pacemakers
3 (13%)

Safety

Conversion to surgery

Cases requiring conversion to surgery in the early experience
2
  • led to changes in valve design

Original publication

Transcatheter Treatment of Native Aortic Valve Regurgitation. JACC Cardiovasc Interv. Published 17 May 2023. doi:10.1016/j.jcin.2023.05.018

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