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Edwards SAPIEN 3 User Manual

Edwards SAPIEN 3
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14
Table 6:
Patient Demographics and Baseline Characteristics
PIIS3HR VI Population
Characteristic
SAPIEN 3
Valve
Overall
(N= 583)
SAPIEN 3
Valve
Transfemoral
Access
(N= 491)
SAPIEN 3
Valve
Non-
Transfemoral
Access
(N= 92)
Age, yr
82.6 ± 8.1
82.8 ± 8.2
81.7 ± 7.5
Male sex, no. (%)
338 (58.0%)
277 (56.4%)
61 (66.3%)
STS score
8.6 ± 3.7
8.4 ± 3.5
10.0 ± 4.3
New York Heart Association (NYHA) class, no. (%):
I/II
58 (9.9%)
51 (10.4%)
7 (7.6%)
III/IV
525 (90.1%)
440 (89.6%)
85 (92.4%)
Coronary artery disease, no. (%)
444 (76.2%)
360 (73.3%)
84 (91.3%)
Previous myocardial infarction, no. (%)
117 (20.1%)
87 (17.7%)
30 (32.6%)
Previous intervention, no. (%)
Coronary-artery bypass grafting (CABG)
193 (33.1%)
145 (29.5%)
48 (52.2%)
Percutaneous coronary intervention (PCI)
199 (34.1%)
163 (33.2%)
36 (39.1%)
Prior aortic valvuloplasty
62 (10.6%)
49 (10.0%)
13 (14.1%)
Cerebral vascular accident (CVA), no. (%)
64 (11.0%)
53 (10.8%)
11 (12.0%)
Peripheral vascular disease, no. (%)
205 (35.2%)
155 (31.6%)
50 (54.3%)
Chronic obstructive pulmonary disease (COPD),
no. (%):
Any
259 (44.6%)
216 (44.1%)
43 (47.3%)
Oxygen-dependent
68 (11.8%)
58 (11.9%)
10 (11.0%)
Atrial fibrillation, no. (%)
255 (43.7%)
212 (43.2%)
43 (46.7%)
Permanent pacemaker, no. (%)
95 (16.3%)
78 (15.9%)
17 (18.5%)
Severe pulmonary hypertension, no. (%)
30 (5.1%)
24 (4.9%)
6 (6.5%)
Frailty, no. (%)
180 (30.9%)
162 (33.0%)
18 (19.6%)
Chest deformities that preclude an open chest
procedure, no. (%)
4 (0.7%)
3 (0.6%)
1 (1.1%)
Cirrhosis, no. (%)
11 (1.9%)
9 (1.8%)
2 (2.2%)
Echocardiographic findings
Effective Orifice Area (EOA), cm
2
0.7 ± 0.2
0.7 ± 0.2
0.7 ± 0.1
Mean aortic-valve gradient, mmHg
45.5 ± 14.3
45.7 ± 14.4
44.0 ± 13.2
Mean left ventricular ejection fraction (LVEF), %
56.4 ± 14.8
57.0 ± 14.5
53.2 ± 15.9
Moderate or severe mitral regurgitation, no./total
no. (%)
69/541
(12.8%)
63/461
(13.7%)
6/80
(7.5%)
Safety and Effectiveness Results
Primary Endpoint
The composite rate of all-cause mortality, all stroke, and AI ≥ moderate at 30 days was 6.7% in the
SAPIEN 3 cohort and 15.6% in the SAPIEN cohort, as shown in Table 7. The resulting proportion
difference in the average treatment effect on the treated (ATT; [2]) was -6.9% (90% CI: [-13.3%, -0.5%]).
Since the upper limit of the CI was < 7.5%, the noninferiority was met.

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Edwards SAPIEN 3 Specifications

General IconGeneral
Product NameEdwards SAPIEN 3
CategoryTranscatheter Heart Valve
Valve TypeBalloon-expandable
MaterialBovine pericardial tissue
Frame MaterialCobalt-Chromium Alloy
Sizes20 mm, 23 mm, 26 mm, 29 mm
Delivery SystemCommander Delivery System
Regulatory StatusFDA Approved, CE Marked
IndicationSevere symptomatic aortic stenosis
Sheath Size14F (20-23mm), 16F (26-29mm)

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