Valve Sizing

  • A. Claire Watkins
  • Anuj Gupta
  • Bartley P. Griffith


Determining the correct size of device is of critical importance to minimize complications. While industry provides a guide, nuanced understanding of the patient’s anatomy and risks should also guide size choice. Echocardiogram and intra-procedural balloon sizing can aid in cases of borderline sizing or poor renal function.


Valve sizing Oversizing SAPIEN 3 Evolut Pro Balloon sizing 


  1. 1.
    Binder RK, Rodés-Cabau J, Wood DA, Mok M, Leipsic J, De Larochellière R, Toggweiler S, Dumont E, Freeman M, Willson AB, Webb JG. Transcatheter aortic valve replacement with the SAPIEN 3: a new balloon-expandable transcatheter heart valve. JACC Cardiovasc Interv. 2013;6(3):293–300.CrossRefPubMedGoogle Scholar
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    Condado JF, Lerakis S, Stewart J, Jensen H, Henry TS, Ko SM, Stillman A, Rajaei MH, Mavromatis K, Devireddy C, Sarin E, Leshnower B, Guyton R, Kaebnick B, Thourani VH, Block PC, Babaliaros V. Balloon versus computed tomography sizing of the aortic annulus for Transcatheter aortic valve replacement and the impact of left ventricular outflow tract calcification and morphology on sizing. J Invasive Cardiol. 2016;28(7):295–304.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • A. Claire Watkins
    • 1
  • Anuj Gupta
    • 2
  • Bartley P. Griffith
    • 3
  1. 1.Department of Cardiothoracic SurgeryStanford University School of MedicineStanfordUSA
  2. 2.Division of CardiologyUniversity of Maryland, School of MedicineBaltimoreUSA
  3. 3.Division of Cardiac SurgeryUniversity of Maryland, School of MedicineBaltimoreUSA

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