13. Percutaneous intervention for structural heart disease

Myval THV vs contemporary THV for treatment of aortic stenosis

LANDMARK
Objective
to compare the clinical efficacy of Myval THV (transcatheter heart valve) with contemporary THV (Sapien or Evolut) for treatment of severe aortic stenosis.
Study
prospective, multicentre non-inferiority randomised trial (margin: 10.44%)
Population
patients with severe aortic stenosis deemed eligible for TAVI
Endpoints
composite of all-cause death, all stroke, bleeding, acute kidney injury, major vascular complications, moderate severe valve regurgitation, permanent pacemaker implantation at 30 days
Conclusion
Myval THV is non-inferior to contemporary THV in terms of the occurrence of severe adverse events at 30 days for the treatment of severe aortic stenosis
Baumbach et al. Lancet 2024;403:2695-708
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