Sapien 3, Fourth Generation

Edwards Sapien 3 Fourth Generation Image

Comments Surgery:

  • Valve can be implated with transfemoral, transapical and transaortic approach for aortic position.
  • Subaortic cuff reduces paravalvular aortic regurgitation
  • Smaller sheets (14F) for 23mm and 26mm valve

Comments Echocardiography:

  • If valve size ist correct paravalvular regurgitation is minimal. Wait a few minutes before quantifying regurgitation as the subaortic cuff needs to adjust itself to the annular shape. By doing this, initial mild regurgitation may disappear completely.
  • Quantification of common paravalvular aortic regurgitation challenging as most common cirteria fail. Holodiastolic abdominal aortic flow reversal a good sign of significant aortic regurgitation.
  • TEE is best for definition of exact etiology if regurgitation is significant
  • No valve specific hemodynamic data available yet, but likely comparable to Edwards Sapien

  • 4th generation Edwards sapien valve
Last modified on Sunday, 18 October 2015 20:19