test 9 percutaneous valve

Question 1

Percutaneous mitral valves

Answer 1

 Abbot MitraClip
        - first generation of mitral valve repair
        - associated with thrombosis
 Edwards 
        - Fortis - halted
        - Sapien - in mitral and aortic position; transapical
 Neovasc
         Transapical insertion
         FDA IDE approval
         30pts worldwide
         NY Pres / Cedars Sinai

Question 2

Percutaneous aortic valves

Answer 2

 Edwards

 Sorin

Question 3

Aortic Valve types

Answer 3

 Edwards SAPIEN 3 / XT
 Cow tissue
 Original FDA approval 2011
 Modified to add skirt for SAPIEN 3 to prevent transanular leaks
 Different structural material, smaller insertional diameter for XT
 Medtronic CoreValve Evolut R
- approved for use in patients with failed bioprosthesis
- approved for Valve-in-valve
- lower 2 year mortalility and lower rate of stroke rate than surgical repair
 Sorin Perceval

Question 4

Aortic Valve methods of insertion

Answer 4

 Tranfemoral
 Transapical
 Subclavian
 Direct Aortic