{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:17:04Z","timestamp":1762867024306,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,12,28]],"date-time":"2016-12-28T00:00:00Z","timestamp":1482883200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>We sought to compare the new transcatheter aortic valve replacement (TAVR) device ACURATE neo (ACT) with the already established CoreValve (MCV) and SAPIEN XT (SXT) for the treatment of severe aortic stenosis (AS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Very few data on TAVR devices are available beyond MCV and SAPIEN and there is no previous study comparing ACT with MCV and SXT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We prospectively evaluated consecutive patients who underwent transfemoral TAVR for the treatment of severe AS. Clinical outcomes were reported following Valve Academic Research Consortium 2 (VARC\u20102) criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 162 patients (ACT <jats:italic>n<\/jats:italic>\u2009=\u200949, MCV <jats:italic>n<\/jats:italic>\u2009=\u200956, SXT <jats:italic>n<\/jats:italic>\u2009=\u200957), were included. MCV group had higher valve embolization\/migration rates (ACT none; MCV 9%; SXT 2%; <jats:italic>P<\/jats:italic>\u2009=\u20090.034) causing lower device success rates (ACT 98%; MCV 86%; SXT 95%; <jats:italic>P<\/jats:italic>\u2009=\u20090.043). At 30 days, there was no significant difference in all\u2010cause mortality (<jats:italic>P<\/jats:italic>\u2009=\u20090.22), cardiovascular mortality (<jats:italic>P<\/jats:italic>\u2009=\u20090.20), periprocedural myocardial infarction (<jats:italic>P<\/jats:italic>\u2009=\u20090.40), stroke (<jats:italic>P<\/jats:italic>\u2009=\u20090.64), major vascular complications (<jats:italic>P<\/jats:italic>\u2009=\u20090.48), life\u2010threatening bleeding (<jats:italic>P<\/jats:italic>\u2009=\u20090.29), acute kidney injury stage 2\/3 (<jats:italic>P<\/jats:italic>\u2009=\u20090.69), or VARC\u20102 composite early safety endpoints (<jats:italic>P<\/jats:italic>\u2009=\u20090.21). MCV group had higher rates of new permanent pacemaker implantation (ACT 6%; MCV 25%; SXT 11%; <jats:italic>P<\/jats:italic>\u2009=\u20090.013). Follow\u2010up echocardiography showed no significant difference in aortic valve mean pressure gradient (<jats:italic>P<\/jats:italic>\u2009=\u20090.73) or moderate\/severe aortic regurgitation (<jats:italic>P<\/jats:italic>\u2009=\u20090.19) between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In a \u201creal world\u201d registry, ACT compared favorably against the well\u2010studied SXT and MCV devices in both safety and efficacy. MCV implantation was associated with lower device success rates and higher rates of new permanent pacemaker implantation. \u00a9 2016 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26837","type":"journal-article","created":{"date-parts":[[2016,12,28]],"date-time":"2016-12-28T12:18:13Z","timestamp":1482927493000},"page":"139-146","source":"Crossref","is-referenced-by-count":11,"title":["Prospective comparison between three TAVR devices: ACURATE neo vs. CoreValve vs. SAPIEN XT. A single heart team experience in patients with severe aortic stenosis"],"prefix":"10.1002","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2245-2131","authenticated-orcid":false,"given":"Tannas","family":"Jatene","sequence":"first","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Castro\u2010Filho","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael A.","family":"Meneguz\u2010Moreno","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimytri A.","family":"Siqueira","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"},{"name":"Associa\u00e7\u00e3o do Sanat\u00f3rio S\u00edrio Hospital do Cora\u00e7\u00e3o S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre A.C.","family":"Abizaid","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"},{"name":"Associa\u00e7\u00e3o do Sanat\u00f3rio S\u00edrio Hospital do Cora\u00e7\u00e3o S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Auristela I.O.","family":"Ramos","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"},{"name":"Associa\u00e7\u00e3o do Sanat\u00f3rio S\u00edrio Hospital do Cora\u00e7\u00e3o S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magaly","family":"Arrais","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"},{"name":"Associa\u00e7\u00e3o do Sanat\u00f3rio S\u00edrio Hospital do Cora\u00e7\u00e3o S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.S.","family":"Le Bihan","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"},{"name":"Associa\u00e7\u00e3o do Sanat\u00f3rio S\u00edrio Hospital do Cora\u00e7\u00e3o S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo B.M.","family":"Barretto","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"},{"name":"Associa\u00e7\u00e3o do Sanat\u00f3rio S\u00edrio Hospital do Cora\u00e7\u00e3o S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana C.","family":"Moreira","sequence":"additional","affiliation":[{"name":"Associa\u00e7\u00e3o do Sanat\u00f3rio S\u00edrio Hospital do Cora\u00e7\u00e3o S\u00e3o Paulo 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