Pushing the Margins with Symetis ACURATE: A Suitable Prosthesis for Low Coronaries and Valve-in-valve TAVI Procedures

Objectives: The self-expandable Symetis ACURATE valve (Boston Scientific, USA) has been used in our clinic since 05/2011 for the transapical (TA) and since 03/2015 for the transfemoral (TF) approach. Sparse information is available in unfavorable TAVI-cases, such as patients with low coronary distance to the annulus (≤8 mm) or Valve-in-Valve (VinV) procedures in degenerated bioprosthesis. Here we report about a single center experience of 242 Symetis Acurate TAVI procedures.