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Early outcomes of redo-TAVI with the SAPIEN 3 platform: the prospective, multicentre ReTAVI registry - PubMed

4 hours ago
  • #valve failure
  • #redo-TAVI
  • #SAPIEN 3
  • Prospective, multicentre ReTAVI registry evaluated 30-day outcomes of redo-TAVI using the SAPIEN 3 platform.
  • Enrolled 143 patients (median age 84, 40.6% female) with failed THVs, primarily SAPIEN 3, CoreValve/Evolut, and ACURATE.
  • Redo-TAVI implantation success rate was 95.1% with 30-day mortality of 3.5%, stroke 0.7%, and pacemaker implantation 6.3%.
  • Procedure significantly improved hemodynamics, reducing mean gradients by 12.0 mmHg overall and 29.0 mmHg in stenotic failures.
  • Conclusion: SAPIEN 3 redo-TAVI is safe and effective across diverse THV types when guided by Heart Team, planning, and imaging.