2018
DOI: 10.1002/ccd.27862
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Real‐world comparison of the new 34 mm self‐expandable transcatheter aortic prosthesis Evolut R to its 31 mm core valve predecessor

Abstract: Objectives The aim of the present study was to compare the incidence of periprocedural complications and short‐term outcomes between the second‐generation recapturable 34 mm Evolut‐R and its first‐generation 31 mm predecessor. Background Although already in extensive clinical use in real world patients, the periprocedural complications and clinical outcomes of the new 34 mm device have not been investigated yet. Methods Consecutive patients who had undergone transcatheter aortic valve implantation in two cente… Show more

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Cited by 7 publications
(3 citation statements)
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References 27 publications
(48 reference statements)
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“…Only one patient had a peak AV velocity > 3 m/s postprocedure. These success rates by VARC‐2 criteria are comparable to recently published results of similar prostheses …”
Section: Discussionsupporting
confidence: 88%
“…Only one patient had a peak AV velocity > 3 m/s postprocedure. These success rates by VARC‐2 criteria are comparable to recently published results of similar prostheses …”
Section: Discussionsupporting
confidence: 88%
“…The use of a smaller sheath and improved delivery capability (in-line sheath) on the Evolut-R 34 mm valve (16 Fr) compared to its predecessor 31 mm (18 Fr) reduced bleeding complication rates. 14 The 16-Fr equivalent EnVeo R delivery catheter system is of a larger size compared to the 14-Fr equivalent system utilized for the 23/26/29 mm Evolut R valves. Nonetheless, due to the larger iliofemoral vessels in this patient group, the incidence of bleeding and major vascular complications exhibited similar rates.…”
Section: Discussionmentioning
confidence: 99%
“… 6 - 10 However, compared to the previous 31 mm self-expanding prosthesis, pacemaker rates are much lower. 14 This is a crucial consideration to ensure the safe utilization of the larger valve without causing a substantial increase in the rate of PPM implantations.…”
Section: Discussionmentioning
confidence: 99%