Moellmann, Helge, Hengstenberg, Christian, Hilker, Michael, Kerber, Sebastian, Schaefer, Ulrich, Rudolph, Tanja, Linke, Axel, Franz, Norbert, Kuntze, Thomas, Nef, Holger, Kappert, Utz, Walther, Thomas, Zembala, Michael O., Toggweiler, Stefan and Kim, Won-Keun (2018). Real-world experience using the ACURATE neo prosthesis: 30-day outcomes of 1,000 patients enrolled in the SAVI TF registry. EuroIntervention, 13 (15). S. 1764 - 1771. TOULOUSE CEDEX 6: EUROPA EDITION. ISSN 1969-6213

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Abstract

Aims: The aim of the SAVI TF registry was to assess the safety and performance of the self-expanding ACURATE neo transfemoral transcatheter heart valve in a large patient population with severe aortic stenosis and to investigate whether the outcomes obtained in the CE-mark cohort can be replicated in an unselected all-comers population. Methods and results: From October 2014 until April 2016, 1,000 patients were enrolled in this prospective, European multicentre registry. Patients were 81.1 +/- 5.2 years and had a logistic EuroSCORE II and STS score of 6.6 +/- 7.5% and 6.0 +/- 5.6%, respectively. Predilatation was performed in 96.1% of patients and post-dilatation in 44.8%. Procedural and device success were both obtained in 98.7%; failure comprised nine valve-in-valve procedures, three conversions to surgery, and one aborted procedure. The primary endpoint was 30-day mortality, which was observed in 14 patients (1.4% [95% CI: 0.7-2.1]). Disabling stroke was seen in 1.2% (95% CI: 0.5-1.9) and new pacemaker implantation in 8.3% (95% CI: 6.6-10.0). At discharge, mean effective orifice area was 1.77 +/- 0.46 cm (2) and mean gradient 8.4 +/- 4.0 mmHg; 4.1% of patients had a more than mild paravalvular leak. Conclusions: In this initial experience, treatment with the ACURATE neo prosthesis resulted in good clinical outcomes with very low complication rates.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Moellmann, HelgeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hengstenberg, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hilker, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kerber, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schaefer, UlrichUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rudolph, TanjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Linke, AxelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Franz, NorbertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuntze, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nef, HolgerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kappert, UtzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Walther, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zembala, Michael O.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Toggweiler, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kim, Won-KeunUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-196420
DOI: 10.4244/EIJ-D-17-00628
Journal or Publication Title: EuroIntervention
Volume: 13
Number: 15
Page Range: S. 1764 - 1771
Date: 2018
Publisher: EUROPA EDITION
Place of Publication: TOULOUSE CEDEX 6
ISSN: 1969-6213
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TRANSCATHETER AORTIC-VALVE; PREDICTIVE FACTORS; POST-DILATION; IMPLANTATION; REPLACEMENT; STENOSIS; SYSTEM; SAFETY; EFFICACY; BIOPROSTHESISMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/19642

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