ECHO 2013 / Transcatheter Aortic and Mitral Valve Replacement The Future is Now 2
.pdf
CoreValve® System Components
18Fr AccuTrak® catheter delivery system
Self-expanding Nitinol frame with porcine pericardial valve
Disposable valve loading system
Step Wise Deployment
18Fr delivery |
Repositionable |
Gradual release |
Conformable at |
|
prior to annular |
|
annulus with |
|
contact |
|
supra-annular |
|
|
|
function |
TAVR
THE FUTURE IS
NOW….
BUT THE BEST IS
YET TO COME!
New TAVI Systems - Transfemoral
Direct Flow
Sadra
St. Jude
AorTx
HLT
EndoTech
ABPS PercValve
New TAVI Systems - Transapical
Jena Valve
Ventor (Embracer)
Symetis
Devices with Reduced Paravalvular AR
Subannular
Fixation
Space
Fillers
current gen tissue skirts
paravalvular leak sites next gen “expandable” skirts
Endoluminal
Sciences
paravalvular leak sites sealed
TAVI 2013
Cerebral Embolic Protection
SMT |
Embrella |
Claret |
Deflectors and Filters
SIMULATION RESULTS FOR AORTIC ROOT WITH
MYOCARDIUM
* Courtesy W. Sun et al.
MODELING TAVR
LCS NCS RCS
AORTIC WALL STRESS OF PATIENT 3
* Courtesy W. Sun et al.