Figure 7.
Last generation of THV. (a) ℷThe Portico resheathable transcatheter aortic valve system (Abbott Structural Heart, St Paul, MN, USA). (b) †The ACURATE neo (Boston Scientific, Marlborough, MA, USA) self-expanding THV. (c) ∗Lotus mechanically expanded valve (Lotus Valve System (MEV; Boston Scientific Corp). (a) Portico valve is designed with large, open cells, and intra-annular leaflet placement to preserve flow and access to the coronary arteries after deployment. The Portico valve was delivered by a flexible, first-generation Portico Delivery system, which had an 18F outer diameter for the small valves (23 and 25 mm) and a 19F outer diameter for the larger valves (27 and 29 mm). (b) The ACURATE neo bioprosthesis consists a self-expanding nitinol frame with three porcine pericardial leaflets and a stent body with an outer and inner pericardial skirt. (c) The MEV combines 3 bovine pericardial tissue valve leaflets and a braided nitinol frame with a polycarbonate-based urethane adaptive seal.