The Cusp Overlap Technique Driving Consistency in Your TAVR Procedures

Precision

Reliable view. Accurate valve deployment.

The cusp overlap technique isolates the non-coronary cusp to provide an accurate anatomical view to assess and achieve the target implant depth.

Control

Valve deployment at the desired depth.

Positioning the flush port at
3 o’clock helps achieve commissural alignment that may facilitate future coronary access.1

Chart showing the new PPI rate in seven studies over a 30-day period

Cusp Overlap Data Summary

The cusp overlap technique has been associated with single-digit pacemaker rates in several single-center and multicenter clinical studies. Large, prospective studies are being performed to confirm the risks and benefits of this new implant strategy.

Watch the Cusp Overlap Technique on Medtronic Academy

Watch the Technique
*

™ Third party brands are trademarks of their respective owners.

Discharge rates.

53 Evolut, 3 ACURATE neo™*, 5 Portico™*.

§

Timepoint not specified.

References

1

Tang GHL, Zaid S, Fuchs A, et al. Alignment of Transcatheter Aortic-Valve Neo-Commissures (ALIGN TAVR): Impact on Final Valve Orientation and Coronary Artery Overlap. JACC Cardiovasc Interv. May 11, 2020;13(9):1030-1042.

2

Gada H, et al. Reduction of Rates of Permanent Pacemaker Implantation With 34-MM Evolut™ R Using Cusp Overlap Technique. Presented at TCT Connect 2020. 

3

Gada H, et al. Reproducibility of Cusp Overlap Technique to Reduce Permanent Pacemaker Implantation With Evolut™: The Latin American Experience. Presented at TCT Connect 2020.

4

Mendiz O, et al. Cusp Overlapping Technique for TAVR Procedures With Self-Expandable Valves. Presented at TCT Connect 2020.

5

Giuliani C, et al. Impact of Cusp-Overlap Technique on Pacemaker Requirement among Patients Receiving Transcatheter Aortic Valve Replacement. Presented at TCT Connect 2020.

6

Gada H, et al. Site-Level Variation and Predictors of Post-TAVR Permanent Pacemaker Implantation in the Evolut™ Low Risk Trial. Presented at TCT Connect 2019.

7

Pisaniello AD, et al. Implantation of Self-Expanding Transcatheter Heart Valves in the Annular Plane is Associated With Low Implant Depths and Pacemaker Rates. Presented at ACC 2020.

8

Aljabbary T, et al. Cusp Overlap Method for Self-Expanding Transcatheter Aortic Valve Replacement. Presented at CCC 2020.