The Sapien valve provides enough grip to be implanted in pulmonary position without a pre-stent

Daniel Tanase, Stanimir Georgiev, Andreas Eicken, Peter Ewert

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Background: Pre-stenting is a widely used technique for transcatheter pulmonary valve implantation (TPVI). For the Melody valve a pre-stent creates a reliable and solid landing zone. In contrast to the Melody valve, the Edwards Sapien valve consists of a strong balloon expandable stent designed for implantation in the aortic position. The usage of a Sapien valve in pulmonary position might therefore obviate the need of a pre-stent. Methods: This retrospective, single centre study reviewed the procedural outcomes of patients receiving the Sapien XT transcatheter valve in pulmonary position without prior implantation of a pre-stent. All consecutive patients with dysfunctional right ventricle to pulmonary artery (RV-PA) conduits or with dysfunctional pulmonary valve treated at the German Heart Centre in Munich were included in this study. Results: We report on successful implantation of a Sapien XT/3 without usage of a pre-stent. Conclusions: Abandonment of the pre-stent simplified the procedure and reduces the radiation burden for the patients.

Original languageEnglish
Pages (from-to)S264-S268
JournalCardiovascular Diagnosis and Therapy
StatePublished - 1 Oct 2019


  • Pre-stent
  • Sapien S3/XT
  • Transcatheter pulmonary valve implantation (TPVI)


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