Second-generation transapical valves: the Medtronic Engager system
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Second-generation transapical valves: the Medtronic Engager system. / Sündermann, Simon H; Holzhey, David; Bleiziffer, Sabine; Treede, Hendrik; Jacobs, Stephan; Falk, Volkmar.
in: Multimedia manual of cardiothoracic surgery : MMCTS, Jahrgang 2014, 2014, S. mmu001.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Second-generation transapical valves: the Medtronic Engager system
AU - Sündermann, Simon H
AU - Holzhey, David
AU - Bleiziffer, Sabine
AU - Treede, Hendrik
AU - Jacobs, Stephan
AU - Falk, Volkmar
PY - 2014
Y1 - 2014
N2 - The Medtronic Engager aortic valve system is a second-generation transcatheter aortic valve implantation bioprosthesis combined with a delivery system designed for over-the-wire transapical implantation of the valve. The self-expandable stent has control arms to be placed into the native aortic sinuses to achieve correct positioning of the bioprosthesis in a predefined height. The purpose of the lower skirt is to reduce paravalvular leakage. A three-leaflet, bovine pericardium valve is mounted on the stent. The implantation is facilitated by the control arms and rotational positioning of the commissural posts. A multicentre feasibility study showed promising results. The results from the following European pivotal trial led to CE mark approval in 2013. Here, we describe technical details of the device and its implantation technique and highlight special steps of the procedure.
AB - The Medtronic Engager aortic valve system is a second-generation transcatheter aortic valve implantation bioprosthesis combined with a delivery system designed for over-the-wire transapical implantation of the valve. The self-expandable stent has control arms to be placed into the native aortic sinuses to achieve correct positioning of the bioprosthesis in a predefined height. The purpose of the lower skirt is to reduce paravalvular leakage. A three-leaflet, bovine pericardium valve is mounted on the stent. The implantation is facilitated by the control arms and rotational positioning of the commissural posts. A multicentre feasibility study showed promising results. The results from the following European pivotal trial led to CE mark approval in 2013. Here, we describe technical details of the device and its implantation technique and highlight special steps of the procedure.
KW - Angiography/methods
KW - Aortic Valve/surgery
KW - Aortic Valve Stenosis/physiopathology
KW - Bioprosthesis
KW - Cardiac Catheterization/methods
KW - Heart Valve Prosthesis
KW - Humans
KW - Intraoperative Care/methods
KW - Postoperative Complications/etiology
KW - Prosthesis Design
KW - Prosthesis Failure/etiology
KW - Prosthesis Fitting/methods
KW - Severity of Illness Index
KW - Stents
KW - Transcatheter Aortic Valve Replacement/adverse effects
KW - Treatment Outcome
U2 - 10.1093/mmcts/mmu001
DO - 10.1093/mmcts/mmu001
M3 - SCORING: Journal article
C2 - 24568935
VL - 2014
SP - mmu001
ER -