Initial experience with the new percutaneous pulmonary self-expandable Venus P-valve

Autor: María Álvarez-Fuente, María Toledano, Ignacio HernÁndez, Elvira Garrido-Lestache, Natalia Rivero, Inmaculada SÁnchez, Isabel Molina, Itziar García OrmazÁbal, María Jesús del Cerro
Jazyk: English<br />Spanish; Castilian
Rok vydání: 2023
Předmět:
Zdroj: REC: Interventional Cardiology (English Ed.), Vol 5, Iss 4, Pp 263-269 (2023)
Druh dokumentu: article
ISSN: 2604-7322
65484886
DOI: 10.24875/RECICE.M23000373
Popis: ABSTRACT Introduction and objectives: Percutaneous pulmonary valve implantation is currently a common procedure in patients with congenital heart disease with a dysfunctional right ventricular outflow tract. Until April 2022, there were only balloon-expandable valves available in Europe, which did not cover the needs of the different anatomies of the right ventricular outflow tract. Since that date we have available the self-expandible Venus P-valve (Venus MedTech, China). We present the initial experience with this new percutaneous pulmonary valve in our center. Methods: Description of the valve implants with the new self-expandible valve performed between September and November 2022. Results: Eight valve implants have been performed, all successful and without severe complications during the procedure. All patients had severe pulmonary regurgitation with a dilated right ventricle and severe dilatation of the pulmonary trunk and were not good candidates for percutaneous balloon-expandable valves. Five patients had a tetralogy of Fallot. In 7 patients, the implant was performed through the femoral vein and in one through jugular access. As a safety measure, all valves were implanted through a DrySeal sheath (Gore, W.L. Gore & Associates, Inc., United States). The mean hospital stay was 3-day. Conclusions: Valve implantation with the new self-expandible Venus P-valve was, in our preliminary experience, a safe and feasible procedure, allowing us to treat very dilated right outflow tracts, not suitable for the current balloon-expandable valves.
Databáze: Directory of Open Access Journals
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