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"Trade-Offs Between Self-Expanding And Balloon-Expandable Valves In Very Large Annuli" - Michael O’Riordan

  • tctMD
  • New York, NY
  • (June 26, 2018)

For a patient with a large aortic annulus undergoing trans catheter aortic valve replacement, a new study suggests there are different risks and benefits when it comes to the use of self-expanding and balloon-expandable transcatheter valves. “Both devices were equally safe, but the bottom line is that it comes down to what the site is comfortable using,” said lead investigator Gilbert H. Tang, MD, senior faculty of cardiovascular surgery at the Icahn School of Medicine at Mount Sinai and surgical director of the Structural Heart Program for the Mount Sinai Health System. “I think both valves perform equally well—Sapien 3 and Evolut R—with the caveat being that at least in our study the Evolut R had higher incidence of new persistent left bundle branch block and new pacemaker implantation.”

- Gilbert H. Tang, MD, Senior Faculty, Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, Surgical Director, The Structural Heart Program, Mount Sinai Health System

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