TY - JOUR
T1 - Modified delivery of SAPIEN 3 valve in the pulmonary position
T2 - Evolution of technique or dire need?
AU - Shahanavaz, Shabana
AU - Rockefeller, Toby
AU - Nicolas, Ramzi
AU - Balzer, David
N1 - Publisher Copyright:
© 2018 Wiley Periodicals, Inc.
PY - 2019/2/15
Y1 - 2019/2/15
N2 - Transcatheter pulmonary valve replacement (TPVR) is now common practice in patients with significant pulmonary regurgitation (PR), stenosis (PS), or mixed pulmonary valve disease. While the Melody valve (Medtronic, Inc.) and its delivery system were specifically designed for use in the right ventricular outflow tract (RVOT), Sapien valves (XT and S3, Edwards Lifesciences, Inc.) and their delivery systems (Novaflex and Commander) were not. As a result, placement of Sapien valves in the RVOT can be challenging secondary to the stiffness of the current delivery system. Manipulating a stiff delivery system within the RV also introduces risk to the tricuspid valve and its chordal attachments. We report a novel delivery technique for the Sapien S3 valve which has greatly simplified valve delivery into the RVOT and may potentially reduce the risk of tricuspid valve injury.
AB - Transcatheter pulmonary valve replacement (TPVR) is now common practice in patients with significant pulmonary regurgitation (PR), stenosis (PS), or mixed pulmonary valve disease. While the Melody valve (Medtronic, Inc.) and its delivery system were specifically designed for use in the right ventricular outflow tract (RVOT), Sapien valves (XT and S3, Edwards Lifesciences, Inc.) and their delivery systems (Novaflex and Commander) were not. As a result, placement of Sapien valves in the RVOT can be challenging secondary to the stiffness of the current delivery system. Manipulating a stiff delivery system within the RV also introduces risk to the tricuspid valve and its chordal attachments. We report a novel delivery technique for the Sapien S3 valve which has greatly simplified valve delivery into the RVOT and may potentially reduce the risk of tricuspid valve injury.
KW - congenital heart disease
KW - transcatheter valve replacement
UR - http://www.scopus.com/inward/record.url?scp=85056351342&partnerID=8YFLogxK
U2 - 10.1002/ccd.27946
DO - 10.1002/ccd.27946
M3 - Article
C2 - 30408317
AN - SCOPUS:85056351342
SN - 1522-1946
VL - 93
SP - 484
EP - 487
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
IS - 3
ER -