In-hospital and thirty-day outcomes of the SAPIEN 3 Ultra balloon-expandable transcatheter aortic valve: the S3U registry

Francesco Saia, Caterina Gandolfo, Tullio Palmerini, Sergio Berti, Sagar N Doshi, Mika Laine, Chiara Marcelli, Tommaso Piva, Flavio Ribichini, Mauro De Benedictis, Francesco Cardaioli, Stefano Cannata, Giuseppe Tarantini

Research output: Contribution to journalArticlepeer-review


AIMS: The aim of this study was to evaluate 30-day safety and efficacy outcomes of transcatheter aortic valve implantation (TAVI) performed with the SAPIEN 3 Ultra system.

METHODS AND RESULTS: The S3U registry is a physician-led, post-approval, multicentre, observational registry of transfemoral TAVI with the SAPIEN 3 Ultra. New features include an improved sealing skirt, a 14 Fr expandable sheath and a new delivery catheter. Overall, 139 consecutive patients at nine participating centres were enrolled. Mean age was 81.4±8.3 years, average STS score 3.8±2.4%. The vast majority (97.2%) underwent TAVI with local anaesthesia (28.8%) or conscious sedation (68.3%). Balloon predilatation was performed in 30 patients (21.6%), post-dilatation in three (2.2%). In-hospital, there were no cases of death, stroke, or conversion to open heart surgery. Major vascular complications occurred in three patients (2.2%), as well as major or life-threatening bleedings in three patients (2.2%). There were two moderate (1.4%) and no moderate/severe paravalvular leaks. Median length of stay after TAVI was three days (IQR 3-5 days). At 30 days, there were no deaths, MI, or strokes, and the incidence of new permanent pacemaker implantation was 4.4%.

CONCLUSIONS: This first multicentre international experience of transfemoral TAVI with the SAPIEN 3 Ultra transcatheter heart valve shows good in-hospital and 30-day clinical outcomes.

Original languageEnglish
Pages (from-to)1240-1247
Number of pages8
Issue number14
Publication statusPublished - Feb 20 2020


  • Aged
  • Aged, 80 and over
  • Aortic Valve
  • Aortic Valve Stenosis
  • Heart Valve Prosthesis
  • Humans
  • Prosthesis Design
  • Registries
  • Transcatheter Aortic Valve Replacement
  • Treatment Outcome


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