BEVs Versus SEVs in Women With Small Annuli

Haochang Hu, Xianbao Liu · 2026

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Description

Haochang Hu and Xianbao Liu wrote a 2026 commentary comparing balloon-expandable and self-expanding valves in women with small aortic annuli during transcatheter aortic valve replacement. A small annulus, often defined below 430 square millimeters, occurs most often in women. It raises concern about a prosthesis that fits the patient poorly and about pressure gradients staying high.

The writers weigh randomized evidence favoring self-expanding valves on blood-flow measures against seven-year registry results in 1,827 women from Japan's OCEAN-TAVI registry. After matching, balloon-expandable valves left smaller openings yet were linked with lower death and stroke rates, while heart failure admissions matched. Because the registry was observational, the commentary urges cautious reading and longer follow-up.

Catalog record

CREATORHaochang Hu, Xianbao Liu
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE7499
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13458921

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