Edwards magna ease valve vs Inspiris Resilia valve

[MontyReynolds]

Does anyone know what the difference is with the Edwards magna ease valve vs the Inspiris Resilia valve? Thanks. Monty

[StevepH2012]

Hi Monty

I have a MagnaEase valve put in July 2020 at 56 y-o. Basically the Edwards Resilia valve is the latest in a line of 'tissue' valves produced by Edwards, the MagnaEase being its predecessor.

My surgeon, when discussing the tissue option, said he hadn't adopted the Resilia valve as it's track record (although good) was only ~ 5 years compared to nearly 15 years of the MagnaEase.

I'm no scientist but did read some of the Edwards product blurb on their web-site and if I remember correctly the main difference is the treatment of the valve cusps is expected to be more resistant to stenosis in the Resilia as well as the valve 'ring' being smaller and easier for surgeon to work/cause less disturbane in blood flow. I think (although this may be miss-remembering) that the magnaease is stored in liquid and the Inspiris not, and that this again is thought to reduce susceptibility to stenosis. I think of it as having a Mark 2 escort, even though the Mark 3 is in the shops.

The Edwards website has a lot of detail about their whole range and was useful reading

[MontyReynolds in reply to StevepH2012]

Hi StevepH2012, thank you for the information. There is so much information online, so it's really good to get your insight given that you have already received the MagnaEase and have received information from your surgeon. I guess either one of the valves would be a good option. Regards, Monty.

[Ageingfast in reply to MontyReynolds]

I had the resilia 1st May 2020. Private doctor in a swish London hospital. I don’t think you can get any better.Do ask about the possibility of adding aTAVi some years on. Not appropriate for me as I am into my 70s, but you are so much younger

Colin

[MontyReynolds in reply to Ageingfast]

Colin, thanks for your reply. Glad you are doing well with the Inspiris Resilia. Monty

[Ageingfast in reply to StevepH2012]

Brilliant posting Steve. Well researched and well written

[Tomatoes123]

Hi Monty, I’m in a similar position to you trying to get my head around aortic tissue valves. I’ll be having a consultation with my cardiologist next Friday to agree the procedure for the surgery open heart or key hole and which valve to use. I’m not a clinician and will follow his recommendations. From what I understand from info from on-line research valve technology is developing all the time and Edwards Life Sciences is a leading company in this area. Both valves are excellent. As Stephen said the key claim from the company is that Resilia is meant to be more resistant to re-calcification. The data in animal studies (sheep) looks good and in humans as well. But the jury is still out regarding its long term durability. It is possible unexpected effects may occur as with any new technology. On balance personally I’m leaning towards the newer product but final decision will be clinician lead next week. Good luck with everything. Mike

[MontyReynolds in reply to Tomatoes123]

Hi Mike, thank you for the information. I'm leaning towards the Inspiris Resilia myself, even though it hasn't been around that long. My personal opinion is that if the valve has been approved for use, it must have been through lots of testing already and should be worthy. Good luck with you meeting with you cardiologist. Please keep in mind, my understanding is the Inspiris Resilia is not covered by NHS. Not sure if the Magna Ease valve is or is not? Monty

[StevepH2012 in reply to MontyReynolds]

I might add that when the surgeon met me the evening before my op. he did say that the valve he used would be the best fit available from those in the theatre. I understood from this that each hospital will have a small number of valves in stock at any one time and can 'order in' for electives. The Inspiris will cost the hospital more than the older Magnaease but that doesn't mean they won't use an Inspiris.When it comes to replacement, valve in valve should be possible but isn't a certainty - the valve needs to be large enough for a 2nd valve to fit inside it. Also, the shape of the aortic root needs to be near circle.

[Dunc595]

Hi Monty

I had the Resilia valve fitted four weeks ago at the John Radcliffe hospital Oxford. I saw two surgeons and what I was told is that the old valve lasts around 10 to 15 years and the new Resilia valve should hopefully last 20 to 25 years. Plus it is designed to be replaced with keyhole surgery although this replacement valve will currently last 8 years.

I am 52 so my decision process was with the Resilia valve and the keyhole replacement valve this should hopefully see me out without the need for open heart surgery again. With around 20 years of medical advancements this 8 year valve might even be extended by then.

Best of luck

Duncan

[MontyReynolds]

Hi Duncan, thank you for the information. You make good points, and you are absolutely correct that in 20 years time, technology will most likely be even better. Monty

[Tessie28]

Nope, I don't but I do have the Edwards Resilia . 18 months or so on now.

[MontyReynolds in reply to Tessie28]

Hi Tessie, I hope all is good, as that's the one I'm leaning towards. Thanks. Monty.

[Tessie28 in reply to MontyReynolds]

Hi Monty, like many people I had a bit of afib in hospital and some ectopic beats later but it seems to be ticking along. This may sound weird but a bit like the mechanical valve you are aware of the noise/vibration at first...or I was. Good luck. Once you are down in theatre it is a breeze...you put your trust in them. Everyday stuff to them of course.

[MontyReynolds in reply to Tessie28]

Thanks. Monty