First-in-man implantation of the retrievable and repositionable VenusA-Plus valve
10.5847/wjem.j.1920–8642.2018.01.010
- Author:
Xian-Bao LIU
1
;
Yu-Xin HE
;
Chun-Hui LIU
;
Li-Han WANG
;
Feng GAO
;
Lei YU
;
Ai-Qiang DONG
;
Min-Jian KONG
;
Ji-Fang CHEN
;
Yong XU
;
Qi-Jing ZHOU
;
Min YAN
;
Jian-An WANG
Author Information
1. Department of Cardiology
- Keywords:
Transcatheter aortic valve replacement;
VenusA-Plus valve;
Retrievable;
Repositionable;
Bicuspid aortic valve
- From:
World Journal of Emergency Medicine
2018;9(1):64-66
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:No retrievable and repositionable second generation transcatheter aortic valve is available in China. Here, we report the first-in-man implantation of the retrievable and repositionable VenusA-Plus valve. METHODS:A 76-year-old patient with symptomatic severe aortic stenosis and high surgical risk (STS 13.8％) was recommended for transcatheter aortic valve replacement (TAVR) by heart valve team. Type 0 bicuspid aortic valve with asymmetric calcification was identified by dual source computed tomography, and the unfavorable anatomies increased the possibility of malposition and paravalvular leakage during TAVR. Therefore, we used the retrievable and repositionable VenusA-Plus valve for the patient. RESULTS:Transfemoral TAVR was performed under local anesthesia with sedation, and a 26-mm VenusA-Plus valve was successful y implanted. No transvalvular pressure gradient and trace paravalvular leakage were found. CONCLUSION:The successful first-in-man implantation indicates the retrievable and repositionable VenusA-Plus valve is feasible in complicated TAVR cases such as bicuspid aortic valve.
