MEDTRONIC HEART VALVES DIVISION EVOLUT R TRANSCATHETER AORTIC VALVE; AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIV
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Model Number EVOLUTR-23 |
Device Problems
Perivalvular Leak (1457); Patient Device Interaction Problem (4001); Central Regurgitation (4068)
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Patient Problems
Atrial Fibrillation (1729); Stroke/CVA (1770); Non specific EKG/ECG Changes (1817); Hemorrhage/Bleeding (1888); Valvular Insufficiency/ Regurgitation (4449); Aortic Valve Insufficiency/ Regurgitation (4450)
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Event Date 10/14/2022 |
Event Type
Injury
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Manufacturer Narrative
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Citation: kolar et al.Minimally invasive surgical aortic valve replacement versus transfemoral transcatheter aortic valve implantation in low-risk octogenarians: observational, retrospective and single-center study.Wien klin wochenschr.2023 dec;135(23-24):703-711.Doi: 10.1007/s00508-022-02094-z.Epub 2022 oct 14.Earliest date of publication used for date of event.No unique device identifier (serial/lot) numbers were provided; without this information it could not be determined whether these observations have been previously reported.Without return of the product no definitive conclusion can be made regarding the clinical observations.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Event Description
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Literature was reviewed regarding minimally invasive surgical aortic valve replacement versus transfemoral transcatheter aortic valve implantation in low-risk octogenarians.The study population included 301 patients who were predominantly female with a mean age of 84 years. multiple manufacturer¿s devices were implanted in the study population; 74 patients were implanted with a medtronic evolut r bioprosthetic valve. deaths occurred in the study population; however, there was no statement establishing a causal or contributory relationship between medtronic product and the deaths. among all patients adverse events included: new onset atrial fibrillation, arrhythmia requiring permanent pacemaker implant, stroke, paravalvular leak, severe aortic regurgitation, major bleeding, and acute kidney injury. no further information was provided pertaining to medtronic products.
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