Coronary access

Lower-risk TAVI requires preserved future access1

Large, open-frame design secures access for future reinterventions.

To learn more now, watch this video on unrestricted coronary access with the ACURATE neo2 Valve.

“ACURATE neo2’s open frame design means it’s easy to access the coronaries, which is crucial for younger, lower risk patients.”

– Prof. Matthias Götberg

Re-access with confidence

ST-elevation myocardial infarction (STEMI) following TAVI associated with a 4x higher PCR failure rate and 33% increased mortality rate.2

75%

Up to 75% of TAVI patients have coronary artery disease3

heart icon

100% successful coronary cannulation1

Live case:

Preserving Coronary Access after TAVI:

L. Søndergaard, I. Amat-Santos, F. De Marco

Predictable commissural alignment

Clearly defined commissural posts and a flexible, responsive delivery system secure best-in-class commissural alignment. In the COMALIGN Study, ACURATE neo2™ was the only valve to completely avoid severe/moderate commissural misalignment.

Severe/Moderate Misalignment

0% moderate or severe commissural misalignment
ACURATE neo2 Valve

0% moderate or severe commissural misalignment
ACURATE neo2 Valve

 

20/20 successful consecutive cases

10% moderate or severe commissural misalignment 
Evolut R™/PRO Valve

10% moderate or severe commissural misalignment
Evolut R™/PRO Valve

 

17/20 successful consecutive cases; 3 cases with non-optimal rotations

25% moderate or severe commissural misalignment 
Portico™ Valve

25% moderate or severe commissural misalignment
Portico™ Valve

 

15/20 successful consecutive cases; 5 cases difficult to assess

How long does it take you to achieve perfect commissural alignment? Try the 3D commissural alignment simulation.

Live case:

Align with Confidence:

F. De Marco and M. Casenghi

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1. Reobtain coronary ostia cannulation beyond transcatheter aortic valve stent (RE-ACCESS); NCT04026204) J Am Coll Cardiol Intv 2020.

2. Faroux L, et al. ST-Segment Elevation Myocardial Infarction Following Transcatheter AorticValve Replacement. jacc.org/journal/jacc. J Am. Coll. Cardiol. 2021; May 77 (17): 2187 -2199.

3. Bieliauskas G, De Backer O, Sondergaard L, et al. Patient-specific implantation technique to obtain neo-commissural alignment with self-expanding transcatheter aortic valves. J Am Coll Cardiol 2021 Oct 11;14(19):2097-2108.

CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with each device. Products shown for INFORMATION purposes only and may not be approved or for sale in certain countries. This material not intended for use in France. Product available in the European Economic Area (EEA) only. Please check availability with your local sales representative or customer service