What are your top 5 reasons to choose between a TAVI valve Edwards SAPIEN 3 (Edwards Lifesciences) vs an Evolut FX (Medtronic) and what favors one over the other?
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Which factors primarily influence your choice between the Edwards SAPIEN 3 and the Medtronic Evolut FX TAVI valves?
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1 Answer
Mednet Member
Cardiology
Answered on
- Considering the SMART trial, for patients with a small annulus I favor Medtronic. However, evaluating other studies comparing hemodynamics and EOA, I favor Medtronic for most patients (FAVORS MEDTRONIC).
- If patients have lower coronaries, especially with the history of coronary artery disease, previously I would have considered Edwards but the Evolut FX+ with its coronary windows have helped reduced the need for this (FAVORS MEDTRONIC).
- The presence of LVOT calcium increases the risk of annular rupture with a balloon-expandable valve and therefore I steer away from the Edwards. (FAVORS MEDTRONIC)
- Any limitations in iliofemoral access where upsizing sheath would not be possible, the eSheath provides an advantage.
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