Catheterization and Cardiovascular Interventions
Volume 88, Issue 3 pp. 444-445
Pediatric and Congenital Heart Disease

Good news and bad news

Donald J. Hagler MD, 

Corresponding Author

Donald J. Hagler MD

Department of Cardiovascular Diseases, and Division of Pediatric Cardiology, Mayo Clinic College of Medicine, Rochester, Minnesota

Correspondence to: Donald J. Hagler, Department of Cardiovascular Diseases, Division of Pediatric Cardiology, Mayo Clinic College of Medicine, Rochester, MN. E-mail: [email protected]Search for more papers by this author
First published: 13 September 2016
https://doi.org/10.1002/ccd.26713

Conflict of interest: Nothing to report.

Key Points:

  • Current delivery systems for the Sapien XT valve for the native pulmonary valve are unacceptable stiff and poorly design for implantation in the pulmonary outflow tract.
  • This report details improvisation of the Melody Ensemble for easier pulmonary outflow tract delivery of the Sapien XT valve.
  • The unacceptable cost of the utilization of two delivery systems for valve implantation, requires industry development of an safe, effective delivery system appropriate for the pulmonary outflow tract.

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