Five patients with symptomatic severe Aortic Stenosis were successfully treated with the Optimum TAVI System in Krakow, Poland, in 2022. The TAVI procedures were conducted using a minimalist approach: general anesthesia and transesophageal echocardiogram were not used, and the Optimum TAV was implanted using percutaneous femoral artery access. In all patients, the Optimum TAV was delivered successfully without complications or obstruction of the coronary arteries. The patients were ambulating the next day and discharged soon thereafter.

The patients have shown remarkable clinical improvement. Their New York Heart Association (NYHA) Classifications, a measure of functional status and symptoms, were updated from II/III pre-procedure to I/II post-procedure. They also had great increases in their Kansas City Cardiomyopathy Questionnaire (KCCQ-12) scores, a patient-reported measure of quality of life. The performance of the Optimum TAV has been outstanding, with post-implant mean pressure gradients (a measure of aortic stenosis severity) and aortic valve effective orifice areas superior to those published on any transcatheter aortic valve of comparable size.

All primary outcome measures of the study were met. At 30 days, VARC-3 clinical endpoints of device success and early safety were achieved. The patients are free from all-cause mortality, stroke, major bleeding, moderate to severe regurgitation, and vascular complications. The patients continue to experience no symptoms, and their quality of life has dramatically improved.