The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Initial Experience with the Second-Generation V-Wave Shunt for Treating Patients with Chronic Heart Failure

DOI: 10.4244/EIJ-D-19-00291

1. Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada, Brazil
2. Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
3. Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
4. Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
5. Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
6. Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
7. V-Wave, Caesarea, Israel
8. V-Wave, Caesarea, Israel; Division of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio
9. Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada, Canada
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Left atrial decompression by creating an interatrial shunt has been associated with significant improvements in functional status and quality of life in patients with HF with reduced and preserved left ventricular ejection fraction (HFrEF, HFpEF).1 The initial experience with the V-Wave shunt showed its safety and preliminary efficacy for treating patients with HFrEF and HFpEF.2,3 However, shunt narrowing/occlusion was observed in up to 50% of the patients at 12-month follow-up, secondary to early valve degeneration.3 Following this initial experience, modifications were implemented in order to improve late device patency and continued efficacy, with valve removal being the most relevant feature of the newer (second) generation of the V-Wave shunt (Figure 1). The present study reports the first-in-human experience with the second-generation of the V-Wave shunt in patients with advanced chronic HF.

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