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oai:recercat.cat:11351/67782025-10-24T10:22:31Zcom_2072_378070com_2072_378040col_2072_378092

Expert Consensus on Sizing and Positioning of SAPIEN 3/Ultra in Bicuspid Aortic Valves Blackman, Daniel Gabbieri, Davide Kempfert, Jörg Laine, Mika García del Blanco, Bruno Mascherbauer, Julia Institut Català de la Salut [Blackman D] Leeds Teaching Hospitals NHS Trust, Leeds, UK. [Gabbieri D] Hesperia Hospital, Modena, Italy. [García Del Blanco B] Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Kempfert J] German Heart Center Berlin, Berlin, Germany. [Laine M] Helsinki University Central Hospital, Helsinki, Finland. [Mascherbauer J] Karl Landsteiner University of Health Sciences, Krems, Austria Vall d'Hebron Barcelona Hospital Campus Medicina clínica - Presa de decisions Vàlvula aòrtica - Estenosi - Cirurgia Pròtesis valvulars cardíaques PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus DISEASES::Cardiovascular Diseases::Heart Diseases::Heart Valve Diseases::Aortic Valve Stenosis Other subheadings::Other subheadings::Other subheadings::/surgery ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Equipment and Supplies::Prostheses and Implants::Heart Valve Prosthesis PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::psicología social::procesos de grupo::consenso ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::enfermedades de las válvulas cardíacas::estenosis de la válvula aórtica Otros calificadores::Otros calificadores::Otros calificadores::/cirugía TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::equipos y suministros::prótesis e implantes::prótesis valvulares cardíacas Vàlvula aòrtica bicúspide; Talla del bicúspide; SAPIEN 3/Ultra Válvula aórtica bicúspide; Talla del bicúspide; SAPIEN 3/Ultra Bicuspid aortic valve; Bicuspid sizing; SAPIEN 3/Ultra Severe aortic stenosis patients with bicuspid anatomy have been excluded from the major transcatheter aortic valve replacement (TAVI) randomized clinical trials. As a result, there is no official recommendation on bicuspid TAVI. A panel of bicuspid experts was created to fill this gap. In this consensus statement, an algorithm is proposed to guide the choice of surgery or TAVI within this complex patient population, depending on aortic dilatation, age, surgical risk score, and anatomy. A step-by-step guide for sizing and positioning of the SAPIEN 3/Ultra TAVI bioprostheses is presented. Annular sizing remains the primary strategy in most bicuspid patients. However, some anatomies may require sizing at the supra-annular level, for which patients the panel recommends the circle method, a dedicated sizing and positioning approach for SAPIEN 3/Ultra. The consensus provides valuable pre-operative insights on the interactions between SAPIEN 3/Ultra and the bicuspid anatomy; understanding the valve–anatomy relationship is critical to avoid complications and to optimize outcomes for patients. The journal’s Rapid Service Fee was supported by Edwards Lifesciences. 2022-01-13T11:18:13Z 2022-01-13T11:18:13Z 2021-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Blackman D, Gabbieri D, García Del Blanco B, Kempfert J, Laine M, Mascherbauer J, et al. Expert Consensus on Sizing and Positioning of SAPIEN 3/Ultra in Bicuspid Aortic Valves. Cardiol Ther. 2021 Dec;10:277–288. 2193-6544 https://hdl.handle.net/11351/6778 10.1007/s40119-021-00223-9 34081277 000657586200001 http://hdl.handle.net/11351/6778 eng Cardiology and Therapy;10 https://doi.org/10.1007/s40119-021-00223-9 Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess application/pdf Springer Scientia