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

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 of use can be found in the product labeling supplied with each device. Information for the use only in countries with applicable health authority product registrations. The information presented in this document by Boston Scientific is intended for healthcare professionals in India. [The information presented in this document is intended to provide balanced, scientific, and evidence-based answers to unsolicited medical questions.] The information should not be, however, treated as comprehensive and does not intend to provide diagnosis, treatment or any medical or health advice. For full information about the product, please refer to the appropriate product labeling. Responsibility for patient care resides with the healthcare professional on the basis of his or her professional license, experience and knowledge of the patient. Healthcare professionals must rely on their judgment when deciding which treatments and procedures to use with patients.