Medtronic Announces Two New Trials To Expand TAVR Indications

The SMART trial will compare Medtronic’s Evolut TAVR systems to Edward’s Sapien 3 devices. Evolut EXPAND TAVR I will evaluate Evolut in patients with symptomatic moderate aortic stenosis or asymptomatic severe disease.

Medtronic Evolut-PRO 29mm
Medtronic's Evolut PRO transcatheter aortic valve • Source: Medtronic

Medtronic is sponsoring the SMART randomized head-to-head trial comparing its Evolut PRO and Evolut PRO+ self-expanding transcatheter aortic valve replacement systems against Edwards Lifesciences’ Sapien 3 and Sapien 3 Ultra balloon-expandable TAVR systems in patients with severe symptomatic aortic stenosis.

The Small Annuli Randomized To Evolut or Sapien (SMART) trial will enroll about 700 patients with small aortic annuli and patients with a failed surgical aortic valve – the so-called...

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