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Reply to the letter to the editor

Reply: A word of caution on haemodynamic structural valve deterioration of the latest-generation balloon-expandable transcatheter aortic valves

EuroIntervention 2020;16:693-694. DOI: 10.4244/EIJ-D-20-00313R

1. Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technische Universität München, Munich, Germany; 2. DZHK (German Center for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany
We read with interest the Letter to the Editor by Drs Stolcova and Di Mario1 regarding our article “Predictors of haemodynamic structural valve deterioration following transcatheter aortic valve implantation with latest-generation balloon-expandable valves”2. The authors give an introduction to the study and also summarise the main findings of a separate study published in the same issue of EuroIntervention pertaining to assessment of the SAPIEN 3 Ultra transcatheter heart valve3.

The main issue raised by the authors relates to the seemingly misinterpreted consequence of elevated transvalvular gradients by transthoracic echocardiography in 691 patients according to the recently published EAPCI/ESC/...

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