Won-Keun Kim1,2,3, MD; Christian Hengstenberg4, MD, PhD; Michael Hilker5, MD, PhD; Ulrich Schäfer6, MD, PhD; Tanja K. Rudolph7, MD, PhD; Stefan Toggweiler8, MD, PhD; Andreas Rück9, MD, PhD; Lars Søndergaard10, MD, PhD; Lenard Conradi11, MD, PhD; Christian Hamm1,3, MD; Thomas Walther12, MD, PhD; Helge Möllmann13, MD, PhD; Mirko Doss2, MD, PhD; Andreas Holzamer5, MD; Oliver Husser13, MD, PhD; Cindy Belon14; Stefane Delaloye14, PhD
1. Department of Cardiology, Kerckhoff Heart Center, Bad Nauheim, Germany; 2. Department of Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany; 3. Department of Cardiology, Justus-Liebig University of Giessen, Giessen, Germany; 4. Department of Medicine II, University Departments of the MedUni, Vienna, Austria; 5. Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Germany; 6. Department of Cardiology, Angiology, and Intensive Care Medicine, Marienkrankenhaus, Hamburg, Germany; 7. Department of Cardiology, Herz- und Diabeteszentrum NRW, Ruhr-University Bochum, Bad Oeynhausen, Germany; 8. Heart Center Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland; 9. Karolinska University Hospital, Stockholm, Sweden; 10. The Heart Center, Rigshospitalet, Copenhagen, Denmark; 11. Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf (UKE), Hamburg, Germany; 12. Department of Cardiovascular Surgery, University Heart Center, Johann-Wolfgang-Goethe University, Frankfurt, Germany; 13. Department of Cardiology, St. Johannes Hospital, Dortmund, Germany; 14. Boston Scientific, Ecublens, Switzerland
The ACURATE neo aortic valve system is a self-expanding transcatheter device that was granted CE mark in 2014 and has since been widely adopted in the treatment of patients with severe aortic stenosis. The ACURATE neo can be used in a wide clinical spectrum, but there are some specific indications and anatomies where this device is particularly suitable. Recently, it was shown that, with appropriate patient screening, size selection, and optimised positioning, results can be improved substantially. This review provides an overview of existing data and compiles a standardised manual of best practice for the implantation of this device based on both evidence and individual experience.