Medium-term results of percutaneous pulmonary valve implantation using the Venus P-valve: international experience

Early clinical experience with the straight design of Venus P‐valve™ in dysfunctional right ventricular outflow tracts

“…The development of the Medtronic Harmony system (Medtronic), Edwards Alterra Adaptive Prestent (Edwards Lifesciences, Irvine, CA) and the Venus Medtech P‐valve™ have focused our minds on treating patients with dilated right ventricular outflow tracts 10–14,28,29 . The Metronic Melody™ valve has become the stalwart for valve implantation in patients with constrained outflow tracts.…”

“…The valve has two designs: flared and straight (Figure 1). Experience with the flared valve has been described elsewhere 10–14 . The available diameters and the lengths of the straight Venus P‐valve™ range from 22 to 36 mm, and from 20 to 35 mm, respectively.…”

“…Experience with the flared valve has been described elsewhere. [10][11][12][13][14] The available diameters and the lengths of the straight Venus P-valve™ range from 22 to 36 mm, and from 20 to 35 mm, respectively. For a given valve length all diameters are available.…”

“…Valve deployment (described in detail elsewhere) was performed from the femoral vein ( Figures 2-4, Videos S1-S3). [10][11][12][13][14] The valve in the delivery system was then advanced through the right side of the heart over a distally placed 0.035" Lunderquist guidewire (CookMedical, Bloomington, IN) and into a proximal branch pulmonary artery. Check angiograms were performed during positioning and deployment of the valve.…”

“…Developments in percutaneous pulmonary valve technology have expanded rapidly in the last 10 years 1–8 . The most recent focus has been on the major area of unmet need, the large regurgitant “native” outflow tract 9–16 . This expansion has combined the development of innovative techniques to apply currently available technology, with the development of new technology, which is better suited to these complex anatomical substrates 17–21 .…”