Medium-term results of percutaneous pulmonary valve implantation using the Venus P-valve: international experience

EuroIntervention 2019;14:1363-1370 published online September 2018. DOI: 10.4244/EIJ-D-18-00299

Gareth J. Morgan
Gareth Morgan1,2, MD; Pimpak Prachasilchai3, MD; Worakan Promphan3, MD; Eric Rosenthal1, MD; Kothandam Sivakumar4, MD, DM; Mahesh Kappanayil5, DCH, DNB, FNB; Indriwanto Sakidjan6, MD, PhD; Kevin P. Walsh7, MD; Damien Kenny8, MB, MD; John Thomson9, BM, BS, MD; Nageswara Koneti10, MD, DM; Neeraj Awasthy11, MD, DM; Basil Thanopoulos12, MD, PhD; Supaporn Roymanee13, MD; Shakeel Qureshi1*, MBChB
1. Evelina London Children’s Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom; 2. Childrens’ Hospital of Colorado, Denver, CO, USA; 3. Pediatric Heart Center, Queen Sirikit National Institute of Child Health, Rangsit University, Bangkok, Thailand; 4. Madras Medical Mission Hospital, Chennai, India; 5. Amrita Institute of Medical Sciences and Research Centre, Kochi, India; 6. National Cardiovascular Center Harapan Kita, Jakarta, Indonesia; 7. Mater Hospital, Dublin, Ireland; 8. Our Lady’s Hospital, Crumlin, Dublin, Ireland; 9. Leeds General Infirmary, Leeds, United Kingdom; 10. Care Hospital, Hyderabad, India; 11. Fortis Escorts Heart Institute, New Delhi, India; 12. Agios Loucas Clinic, Thessaloniki, Greece; 13. Prince of Songkla University, Hat Yai, Songkla, Thailand

Aims: The aim of this study was to assess the international procedural and short-term to midterm experience with the new percutaneous Venus P-valve.

Methods and results: Retrospective data of patient characteristics, clinical and imaging follow-up of Venus P-valve implantation outside China were collected. Thirty-eight patients underwent attempted Venus P-valve implantation between October 2013 and April 2017. Thirty-seven valves were successfully implanted during 38 procedures. There was one unsuccessful attempt and there were two valve migrations, one of which required surgical repositioning. The mean follow-up was 25 months with no short-term or midterm valve failure or deterioration in performance. Frame fractures occurred in 27% of patients. The cohort demonstrated a statistically significant reduction in pulmonary regurgitation fraction and indexed right ventricular diastolic volumes at six and 12 months.

Conclusions: Implantation of the Venus P-valve has provided satisfactory short-term to midterm results with high success and low complication rates in an inherently challenging patient substrate.

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miscellaneousmrivalve migration
Interventions for valvular diseaseOther valvular and structural interventions
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