{"id":8758,"date":"2025-09-26T20:00:40","date_gmt":"2025-09-26T17:00:40","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=8758"},"modified":"2025-09-26T20:00:40","modified_gmt":"2025-09-26T17:00:40","slug":"choosing-between-self-expanding-and-balloon-expandable-valves-in-heavily-calcified-aortic-stenosis","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/choosing-between-self-expanding-and-balloon-expandable-valves-in-heavily-calcified-aortic-stenosis\/","title":{"rendered":"Choosing Between Self-Expanding and Balloon-Expandable Valves in Heavily Calcified Aortic Stenosis"},"content":{"rendered":"<div>Choosing Between Self-Expanding and Balloon-Expandable Valves in Heavily Calcified Aortic Stenosis<\/div>\n<div><\/div>\n<div>Primary Study Source: American Heart Journal, 18 September ,2025<\/div>\n<div><\/div>\n<div>Key Points:<\/div>\n<div><span> 1. In patients with excessive aortic cusp calcification, 5-year mortality is similar between self-expanding and balloon-expandable TAVR devices.<\/span><\/div>\n<div><span> 2. Heavy cusp calcification increases risks of underexpansion, malpositioning, migration, stroke, conduction disturbances, paravalvular regurgitation, coronary obstruction, and annular rupture.<\/span><\/div>\n<div><span> 3. The study analyzed 271 matched patient pairs (SwissTAVI Registry, 2007\u20132023) with calcium volume \u2265 235 mm\u00b3.<\/span><\/div>\n<div><span> 4. Device-specific findings:<\/span><\/div>\n<div>\u2003\u2022 Self-expanding valves \u2192 lower mean gradient (8 mmHg vs 11.2 mmHg)<\/div>\n<div>\u2003\u2022 Balloon-expandable valves \u2192 higher rates of annular rupture (2.2%) and cardiac tamponade (1.8%)<\/div>\n<div>\u2003\u2022 Self-expanding valves \u2192 more paravalvular regurgitation (69.7% vs 58.1%) and pacemaker need (22.6% vs 15.5%)<\/div>\n<div><span> 5. At 5 years:<\/span><\/div>\n<div>\u2003\u2022 All-cause mortality: 45.1% (self-expanding) vs 50.2% (balloon-expandable)<\/div>\n<div>\u2003\u2022 Cardiovascular death: 34.9% vs 39.5%<\/div>\n<div>\u2003\u2022 No significant differences in stroke, MI, or bleeding outcomes<\/div>\n<div><span> 6. Conclusion: Balloon-expandable valves carry higher procedural risks in severe calcification, while self-expanding valves show more long-term conduction and leak issues. A tailored device selection based on anatomy, comorbidities, and operator expertise is essential.<\/span><\/div>\n<div><\/div>\n<div><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0002870325003333?utm_source=chatgpt.com\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0002870325003333?utm_source=chatgpt.com<\/a><\/div>\n<div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Choosing Between Self-Expanding and Balloon-Expandable Valves in Heavily Calcified Aortic Stenosis Primary Study Source: American Heart Journal, 18 September ,2025 Key Points: 1. In patients with excessive aortic cusp calcification, 5-year mortality is similar between self-expanding and balloon-expandable TAVR devices. 2. Heavy cusp calcification increases risks of underexpansion, malpositioning, migration, stroke, conduction disturbances, paravalvular regurgitation, [&hellip;]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8758","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8758","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=8758"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8758\/revisions"}],"predecessor-version":[{"id":8759,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8758\/revisions\/8759"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=8758"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=8758"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=8758"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}