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March 1, 2017Catheterization and Cardiovascular Interventions

Transcatheter aortic valve implantation with the self‐expandable venus A‐Valve and CoreValve devices: Preliminary Experiences in China

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Why the study?

Does TAVI with the Venus A-Valve provide comparable safety and efficacy to the CoreValve in high-risk or inoperable patients with aortic stenosis?

Population

54 inoperable or high-risk patients with tricuspid and bicuspid aortic valve stenosis in China.

Comparison

Transcatheter aortic valve implantation with the… vs Transcatheter aortic valve implantation with the…

Design

Cohort

Follow-up

2 years

Key result

TAVI with the Venus A-Valve demonstrated similar 2-year clinical outcomes compared to the CoreValve (7.4% vs 11.1%, P=0.64), with significantly fewer pacemaker insertions (7.4% vs 37.0%, P=0.03).

Authors

YLYanbiao LiaoZZZhen‐Gang ZhaoXWXin Wei

Discussion

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Overview

Supports Venus A-Valve as TAVI alternative with fewer pacemakers; leaves open randomized confirmation before practice change.

Study Design

Type

Cohort (n=54)

Structured PICO

Does TAVI with the Venus A-Valve provide comparable safety and efficacy to the CoreValve in high-risk or inoperable patients with aortic stenosis?

P
Population
54 inoperable or high-risk patients with tricuspid and bicuspid aortic valve stenosis in China (32 with bicuspid aortic valve).
I
Intervention
Transcatheter aortic valve implantation (TAVI) with the self-expandable Venus A-Valve
C
Comparator
Transcatheter aortic valve implantation (TAVI) with the CoreValve device
O
Outcome
Device success according to Valve Academic Research Consortium-2 (VARC-2) definitions, complications, and mortality at 30 days and 2 yearscomposite

Main Result

Absolute Event Rate: 7.4% vs 11.1%

p-value: p=0.64

The Venus A-Valve demonstrates comparable safety and efficacy to the CoreValve for TAVI in high-risk Chinese patients, with a notably lower rate of permanent pacemaker implantation.

Cite This Study

Liao et al. (2017) conducted a cohort in Aortic stenosis (n=54). Venus A-Valve vs. CoreValve was evaluated on Events at 2-years of follow-up (p=0.64). TAVI with the Venus A-Valve demonstrated similar 2-year clinical outcomes compared to the CoreValve (7.4% vs 11.1%, P=0.64), with significantly fewer pacemaker insertions (7.4% vs 37.0%, P=0.03).

synapsesocial.com/papers/6a0f2a97f822c924b6bdb7bchttps://doi.org/10.1002/ccd.26912
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