EuroPCR 2017: Excellent clinical outcomes for Medtronic’s CoreValve and Evolut systems in routine practice

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Medtronic CoreValve

New positive data on the self-expanding Medtronic CoreValve platform from the CoreValve ADVANCE and Evolut R FORWARD clinical studies—two large, rigorous global registries—have been presented during the Late-Breaking clinical trial sessions at the 2017 EuroPCR Annual Meeting (Paris, France; 16–19 May). Consistent with the results achieved in clinical trials, the studies reinforce the safety and efficacy profile of the CoreValve system, and the newer CoreValve Evolut R system for the treatment of transcatheter aortic valve implantation (TAVI) in “real-world” patient populations with severe aortic stenosis.

Five-year results from 465 patients in the ADVANCE clinical trial demonstrated sustained, longer-term performance with the CoreValve System in a “real-world” patient population. The CoreValve system demonstrated sustained haemodynamic improvement in patients available for long-term follow-up (9.7mmHg mean gradient at discharge; 8.8mmHg mean gradient at five years). Additionally, most patients continued to have symptomatic improvements with 81% of patients classified as NYHA (New York Heart Association) class I or class II.

In a higher-risk patient population, survival is in line with other five-year TAVI data in similar high-risk patients.

“As TAVI continues to be evaluated in lower-risk patients, the ability to demonstrate sustained valve durability over time is of increasing importance,” says Axel Linke, professor of medicine at the University of Leipzig, Heart Center, Leipzig, Germany, and principal investigator of the ADVANCE trial. “At final, five-year follow-up, we are very pleased with the excellent performance of the first-generation CoreValve device in the ADVANCE study, which is one of the most rigorously designed global TAVI trials to date.”

Clinical results from the full patient cohort (n=1,038 patients) enrolled in the Evolut R FORWARD clinical study demonstrated high survival (98.1%) and a low rate of disabling stroke (1.8%) at 30-days post-implant. The FORWARD study is a global, single-arm, prospective study at 53 centres across four continents. Patients enrolled in the study had a mean STS Predicted Risk of Mortality estimate of 5.5%.

“The FORWARD results with a large patient cohort are encouraging, as these data support the clinical safety and effectiveness of the Evolut R System,” says Eberhard Grube, head, Center of Innovative Interventions (CIIC) at the University Hospital Bonn, Bonn, Germany, and co-principal investigator of the FORWARD Study. “These initial 30-day outcomes help to further demonstrate the advantages of the recapturable and repositionable capabilities of the Evolut R system in routine clinical practice, and we look forward to conducting further follow-up that will provide insights on contemporary TAVI clinical practice.”

The Evolut R FORWARD study also showed excellent haemodynamic performance in which the mean aortic valve gradient was significantly reduced from 41.7 ± 16.1mmHg at baseline to 8.5 ± 5.6mmHg at discharge. Additionally, 98.1% of patients experienced mild or none/trace aortic regurgitation, as well as a low rate of major vascular complications (6.5%). New pacemaker implantations remained low (17.5%) with no reports of valve thrombosis reported at 30 days.