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CoreValve U.S. Pivotal High-Risk Trial "These were early CoreValve patients, some of the first patients to receive the therapy, and it's reassuring to see that the CoreValve System has proven to be durable out to five years," said Thomas G. Gleason, M.D., co-director of UPMC's Heart and Vascular Institute and professor and chief of the Division of Cardiac Surgery at the University of Pittsburgh School of Medicine, who presented the data at the meeting. "As the technology and heart team experience continues to improve, this longer-term follow-up data is an encouraging indicator for TAVR patients in the future. Earlier concerns regarding the durability of TAVR are certainly tempered by these mid-term data." SURTAVI Trial - Complete 2-Year Results The full two-year data set confirmed that rates of all-cause mortality or disabling stroke at two years were similar to SAVR (12.7% for TAVR versus 12.6% for SAVR; p=0.97). The minimally-invasive TAVR procedure also demonstrated significantly better mean aortic valve gradient compared to SAVR (8.2 mm Hg vs. 11.6 mm Hg; p<0.0001) at two years. Patients treated with TAVR experienced statistically lower rates of stroke, lower rates of new onset atrial fibrillation, a quicker hospital discharge, less acute kidney injury and fewer transfusions. SAVR patients experienced fewer permanent pacemaker implantations and less aortic regurgitation. "The excellent outcomes from this study tell us two important things: first, we can be confident that TAVR performs well in the intermediate risk patient population, and secondly, the Bayesian statistical analysis that allowed us to evaluate these data more than a year early, is a reliable methodology that we can trust and use in future studies," said Jeffrey J. Popma, M.D., director of Interventional Cardiology at the Beth Israel Deaconess Medical Center in Boston, Mass., principal investigator of the SURTAVI trial. One-year outcomes from the SURTAVI Continued Access Study also showed low mortality (3.5%) and low disabling stroke (0.7%) for TAVR patients, the majority (93%) of whom were treated with the second-generation Evolut™ R TAVR System. Medtronic is a leading innovator of heart valve therapies, including the first transcatheter pulmonic valve, the first self-expanding and recapturable transcatheter aortic valve, and the first transcatheter mitral valve replacement technology to be studied in a global pivotal trial. The Medtronic CoreValve System received CE (Conformite Europeenne) Mark in 2007. Following the U.S. launch of the self-expanding CoreValve System in 2014, and the Evolut™ R system in 2015, the third-generation Evolut™ PRO TAVR system was approved in the U.S. and Europe for extreme-, high-, and intermediate-risk patients in 2017. In collaboration with leading clinicians, researchers and scientists worldwide, Medtronic offers the broadest range of innovative medical technology for the interventional and surgical treatment of cardiovascular disease and cardiac arrhythmias. The company strives to offer products and services that deliver clinical and economic value to healthcare consumers and providers around the world. About Medtronic Any forward-looking statements are subject to risks and uncertainties such as those described in Medtronic's periodic reports on file with the Securities and Exchange Commission. Actual results may differ materially from anticipated results. Source: Medtronic plc |
