Achieving Accurate Valve Deployment in Complex Anatomies

The Portico valve (Abbott) is a transcatheter, self-expanding, resheathable device with intra-annular positioning of the bovine leaflets, which has proven safety and performance in several studies.1,2 The major advantages of this device include its low profile and flexibility, making it easier to overcome potential challenges related to tortuous and calcified vessels, as well as horizontal aortic anatomy. The next-generation delivery system (FlexNav, Abbott) recently took its first step into the clinical arena, offering additional improvements in deliverability and accurate valve deployment in complex anatomies.