Valve deployment: Edwards Lifesciences - SAPIEN XT™ Transfemoral Valve

Procedural concepts

Angiograms, animation and Phantom models of the deployment of the Edwards Lifesciences - SAPIEN XT™ Transfemoral Valve.

Edwards, Edwards Lifesciences, Edwards SAPIEN, Edwards SAPIEN XT, Edwards SAPIEN 3, SAPIEN, SAPIEN XT and SAPIEN 3 are trademarks of Edwards Lifesciences Corporation.

Angio – Animation – Phantom

Angiograms

1. Baseline angio

Baseline angio: Contrast aortography confirms the optimal projection with 3 cusps aligned.

Movie 55. Baseline aortogram

2. Introducing into abdominal aorta

SAPIEN XT advancement: A SAPIEN XT transcatheter valve is advanced through the eSheath into the abdominal aorta.

Movie 56. Advancing SAPIEN XT

3. Positioning in the aortic root

SAPIEN XT positioning: A SAPIEN XT transcatheter valve is positioned in the aortic root.

Movie 57. SAPIEN XT position

4. Position adjustment

SAPIEN XT adjustment: The position of the SAPIEN XT transcatheter valve is adjusted to obtain 40% of its body in the left ventricular outflow tract (LVOT) and 60% in the ascending aorta. In this view, the relative position is more 30% into the LVOT and 70% in the aorta.

Movie 58. Positioning SAPIEN XT

5. Position before deployment

SAPIEN XT optimal position: The position of the SAPIEN XT transcatheter valve is adjusted to obtain 40% of its body in the left ventricular outflow tract and 60% in the ascending aorta.

Movie 59. SAPIEN XT optimal position

6. Deployment

Movie 60. Deployment

7. Final angio

Final aortogram: Contrast angiography confirms correct SAPIEN XT position and no aortic regurgitation.

Movie 61. Final aortogram (1)

Final aortogram in RAO: Contrast angiography in right anterior oblique projection confirms mild aortic regurgitation.

Movie 62. Final aortogram (2)

Phantom model implantation

Movie 121. Edwards SAPIEN XT - Phantom

3D rotational animation

Movie 107. Edwards SAPIEN XT 3D animation (post-implantation)