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Sabine Bleiziffer and Didier Tchétché discuss the SMART trial with Flavio Ribichini in this #europcr 2024 roundtable. The trial compares the self-expandable supra-annular EVOLUT platform and the balloon-expandable intra-annular SAPIEN platform in patients with small aortic annulus, prevalent in up to 40% of Europeans, mainly women. At one year, clinical outcomes were identical, but valve haemodynamics differed. They explain the methodology, the choice of BARC 2 over BARC 3, and the implications for clinical practice and transcatheter valve replacement decision-making. They also address the higher incidence of paravalvular leak in the balloon-expandable valve and conclude by discussing annular rupture.

Sponsored by Medtronic

This video was filmed during #EuroPCR 2024.
See more videos here: https://www.pcronline.com/Cases-resources-images/Resources/Educational-interviews

#tavi
#smallannulus
#paravalvularleak
#selfexpandablevalve
#balloonexpandablevalve

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