# Valve In Valve vs ASRA Coags

The clearest difference is review sentiment: Valve In Valve at 71% against ASRA Coags's 10%. Valve In Valve also leads on rating (4.6 vs 1.3) and monetization model (free vs subscription). ASRA Coags's advantage is ratings volume (407 vs 10) and iOS requirement (13.4 vs 15.1). On price, update cadence, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Valve In Valve holds the better App Store score, 4.6 against 1.3. That said, the two scores are not equally well evidenced: ASRA Coags has 407 ratings behind it against 10, so its average is the more settled of the two. Written reviews point the same way: 71% of Valve In Valve's written reviews are positive against 10% of ASRA Coags's.

Valve In Valve ships an update every 2 months, ASRA Coags every 3 months. The most recent releases landed on June 6, 2026 and September 21, 2026 respectively.

## The numbers

| Metric | Valve In Valve | ASRA Coags |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.6 (10 ratings)](https://appshunter.io/ios/app/valve-in-valve/id655683780/reviews)** | [1.3 (407 ratings)](https://appshunter.io/ios/app/asra-coags/id858796572/reviews) |
| Number of ratings | 10 | **407** |
| Positive reviews | **71.4% of reviews** | 9.7% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 months** | Every 3 months |
| Monetization | **Free** | Subscription |
| Size | 41 MB | 27 MB |
| Requires iOS | 15.1 | **13.4** |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Krutsch Associates, Inc.](https://appshunter.io/developer/1454678018) | [American Society of Regional Anesthesia and Pain Medicine](https://appshunter.io/developer/858796575) |

## What reviewers say

### Valve In Valve

[App page](https://appshunter.io/ios/app/valve-in-valve/id655683780)

This app provides clinicians with quick, clear, and concise information on heart valves and Valve in Valve therapy. It guides users through surgical and TAVR valve design, helping to plan and perform procedures by identifying surgical valves, selecting correct TAVR valve sizes, and determining optimal placement. The app offers offline access to vital information, enhancing understanding and improving patient outcomes.

**Highlights:** Heart valve design information, Valve in Valve therapy guide, Surgical and TAVR valve sizing, Image-based placement guidance, Video examples of valve placement, Offline information access, Stepped valve identification process

**Features:** macOS Compatibility

**In-app purchases:** none


### ASRA Coags

[App page](https://appshunter.io/ios/app/asra-coags/id858796572)

This app provides quick access to anticoagulation guidelines for regional anesthesia and interventional pain procedures. It offers drug-specific summaries, recommendations based on procedure type, and detailed information on medication mechanisms and guideline documents.

**Highlights:** Anticoagulation guideline reference, Drug-specific summary information, Regional anesthesia guidelines, Interventional pain guidelines, Search by drug or procedure, Recommendations by block and intervention type

**Features:** Apple Wallet, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Valve In Valve free?

Valve In Valve is free to download, with no in-app purchases.

### Is ASRA Coags free?

ASRA Coags is free to download, with no in-app purchases.

### Which has better reviews, Valve In Valve or ASRA Coags?

Valve In Valve is rated higher. Valve In Valve averages 4.6 out of 5 from 10 ratings, while ASRA Coags averages 1.3 from 407 ratings.

### Do Valve In Valve or ASRA Coags have ads?

Neither Valve In Valve nor ASRA Coags shows ads.

### Which is updated more often, Valve In Valve or ASRA Coags?

Valve In Valve ships an update every 2 months, and ASRA Coags every 3 months. Most recently, Valve In Valve was updated on June 6, 2026 and ASRA Coags on September 21, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*