Detailed Narrative
TAVR Market Dynamics and Early TAVR Trial Impact
The company's TAVR business saw better-than-expected growth in Q1, with SAPIEN technology continuing strong adoption. Management highlighted the multi-year growth opportunity from the EARLY TAVR trial results, expecting indication approval in Q2. New data presented at ACC underscored the unpredictable progression of asymptomatic AS and the need for urgent referrals, with echo alerts increasing treatment and survival rates. The average age of patients in the EARLY TAVR trial was 76, indicating that these are not necessarily younger patients.
TMTT Portfolio Expansion and NCD Finalization
TMTT demonstrated impressive 60% growth, driven by PASCAL and EVOQUE. The finalization of the NCD for transcatheter tricuspid valve replacement expands Medicare coverage for EVOQUE, which is progressing well in its commercial launch. The recent European approval of SAPIEN M3 marks a significant step in addressing unmet needs for mitral regurgitation patients, with U.S. approval anticipated in 2026. Edwards is uniquely positioned with both repair and replacement options for mitral and tricuspid valves.
Surgical Business Performance and RESILIA Durability
The Surgical product group achieved 3% growth, benefiting from the adoption of the premium RESILIA portfolio. Eight-year data presented at the Heart Valve Society Meeting demonstrated excellent durability of RESILIA tissue valves, showing significantly improved freedom from structural valve deterioration and reoperation compared to non-RESILIA valves. MITRIS launched in China, and CE Mark approval for KONECT in Europe is expected by year-end, contributing to confidence in mid-single-digit growth.
Financial Performance and Strategic Offsets
Edwards reported adjusted EPS of $0.64, exceeding expectations due to strong sales and favorable mix. Despite anticipated pressures from tariffs (estimated $0.05 EPS impact) and the JenaValve acquisition (estimated $0.05-$0.10 EPS dilution), the company reaffirmed its full-year EPS and margin guidance. This was achieved by implementing plans to mitigate costs, focusing on prioritized R&D investments, and adjusting discretionary spending.
Long-term Growth and Innovation Strategy
The company reiterated its confidence in a durable mid-to-high single-digit growth opportunity in TAVR, supported by upcoming indication approvals and the potential expansion to moderate AS patients through the PROGRESS trial in late 2026. Edwards' unique innovation strategy across TAVR, TMTT, and Surgical, coupled with its commitment to high-quality science and addressing unmet patient needs, positions it for significant value creation for patients and shareholders in 2026 and beyond.