کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8679068 | 1579113 | 2018 | 8 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Early Outcomes with Rapid-deployment vs Stented Biological Valves: A Propensity-match Analysis
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موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
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چکیده انگلیسی
Rapid-deployment valves could potentially reduce cross-clamping time and cardiopulmonary bypass time in complex combined procedures and facilitate minimally invasive surgery. This propensity-matched study compared clinical and echographic outcomes between patients undergoing rapid-deployment aortic valve replacement (RDAVR) compared with stented biological aortic valve replacement (SAVR), with or without concomitant procedures. Between 2012 and 2015, 61 consecutive patients (age 70â±â7 years, European System for Cardiac Operative Risk Evaluation [EuroSCORE] II 2.1%) underwent aortic valve replacement with Intuity prosthesis (Edwards, Irvine, CA) at the Montreal Heart Institute. This group was compared to 1496 consecutive patients (age 74â±â8 years, logistic EuroSCORE II 2.8%) who underwent SAVR in the same period. After propensity score matching (1:3), 59 patients in the RDAVR group were matched to 177 patients in the SAVR group. Preoperative characteristics and risk scores were similar in matched groups. Cardiopulmonary bypass, cross-clamp, and total surgical times were lower in the RDAVR group compared with the SAVR group (Pâ<â0.001). Within 30 days, 1 patient died in the SAVR group and none died in the RDAVR group (Pâ=â0.31). The need for pacemaker implantation was higher in the RDAVR group, although the difference was not significant (12% vs 5%, Pâ=â0.13). RDAVR patients less frequently required transfusions (Pâ=â0.025) and had a shorter intubation time (Pâ=â0.002). RDAVR facilitates minimally invasive aortic valve replacement and is associated with shorter bypass and cross-clamp times. Moreover, RDAVR compares favorably with SAVR in terms of mortality and outcome variables.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Thoracic and Cardiovascular Surgery - Volume 30, Issue 1, Spring 2018, Pages 16-23
Journal: Seminars in Thoracic and Cardiovascular Surgery - Volume 30, Issue 1, Spring 2018, Pages 16-23
نویسندگان
Anthony MD, MSc, Louis-Mathieu MD, PhD, Denis MD, PhD, Philippe MD, MSc, Louis P. MD, PhD, Michel MD, MBA,