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Surgical aortic valve replacement with new-generation bioprostheses: Sutureless versus rapid-deployment
| Content Provider | Scilit |
|---|---|
| Author | D'Onofrio, Augusto Salizzoni, Stefano Filippini, Claudia Tessari, Chiara Bagozzi, Lorenzo Messina, Antonio Troise, Giovanni Tomba, Margerita Dalla Rambaldini, Manfredo Dalén, Magnus Alamanni, Francesco Massetti, Massimo Mignosa, Carmelo Russo, Claudio Salvador, Loris Bartolomeo, Roberto Di Maselli, Daniele Paulis, Ruggero De Alfieri, Ottavio Filippo, Carlo Maria De Portoghese, Michele Bortolotti, Uberto Rinaldi, Mauro Gerosa, Gino |
| Copyright Year | 2019 |
| Description | Journal: Journal of Thoracic and Cardiovascular Surgery The aim of this retrospective multicenter study was to compare early clinical and hemodynamic outcomes of Perceval-S sutureless (Livanova, London, United Kingdom) and Intuity rapid-deployment (Edwards Lifesciences, Irvine, Calif) bioprostheses. Data from patients who underwent isolated or combined aortic valve replacement with Perceval-S and with Intuity bioprostheses at 18 cardiac surgical institutions were analyzed. Propensity matching was performed to identify similar patient cohorts. We included 911 patients from March 2011 until May 2017. Perceval-S and Intuity valves were implanted in 349 (38.3%) and in 562 (61.7%) patients, respectively. Propensity score identified 117 matched pairs. In the matched cohort, device success was 99.1% and 100% in Perceval-S and Intuity group, respectively (P = 1.000). Thirty-day Valve Academic Research Consortium mortality occurred in 2 (1.7%) and 4 (3.4%) patients in the Perceval-S and in Intuity group, respectively (P = .6834). The rate of postoperative new permanent pacemaker implantation was 6% (7 patients) and 6.8% (8 patients) in the Perceval-S and in Intuity group, respectively (P = .7896). Perceval-S valve implantation requires significantly shorter aortic crossclamp and cardiopulmonary bypass times than Intuity valve implantation (aortic crossclamp time for isolated, 52 ± 14 minutes vs 62 ± 24 minutes; P < .0001). Peak transaortic gradients were 22.4 ± 8.1 mm Hg and 19.6 ± 6.7 mm Hg (P = .0144), whereas mean gradients were 11.8 ± 4.7 mm Hg and 10.5 ± 3.9 mm Hg (P = .0388) in the Perceval-S and Intuity groups, respectively. Sutureless Perceval-S and rapid-deployment Intuity bioprostheses provide good and similar early clinical and hemodynamic outcomes. Perceval-S valve implantation requires shorter crossclamp and cardiopulmonary bypass times, whereas Intuity valve implantation provides lower transaortic peak and mean gradients. |
| Related Links | http://www.jtcvs.org/article/S0022522319309778/pdf |
| ISSN | 00225223 |
| e-ISSN | 1097685X |
| DOI | 10.1016/j.jtcvs.2019.02.135 |
| Journal | Journal of Thoracic and Cardiovascular Surgery |
| Issue Number | 2 |
| Volume Number | 159 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2019-05-11 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Thoracic and Cardiovascular Surgery Sutureless Aortic Bioprosthesis Rapid Deployment Aortic Bioprosthesis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
