Paolo Berretta1, Martin Andreas2, Thierry P Carrel3, Marco Solinas4, Kevin Teoh5, Theodor Fischlein6, Giuseppe Santarpino7, Thierry Folliguet8, Emmanuel Villa9, Bart Meuris10, Carmelo Mignosa11, Gianluca Martinelli12, Martin Misfeld13, Mattia Glauber14, Utz Kappert15, Carlo Savini16, Malak Shrestha17, Kevin Phan18, Alberto Albertini19, Tristan Yan18,20, Marco Di Eusanio18,21. 1. Cardiac Surgery Unit, Ospedali Riuniti, Polytechnic University of Marche, Ancona, Italy. 2. Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria. 3. Hospital Universitaire de Berne, Berne, Switzerland. 4. Pasquinucci Heart Hospital, Massa, Italy. 5. Southlake Regional Health Centre, Newmarket, ON, Canada. 6. Cardiovascular Center, Paracelsus Medical University, Nuremberg, Germany. 7. Città di Lecce Hospital, GVM Care & Research, Lecce, Italy. 8. Henri Mondor Hospital, University of Paris, Paris, France. 9. Poliambulanza Foundation Hospital, Brescia, Italy. 10. Gasthuisberg, Cardiale Heelkunde, Leuven, Belgium. 11. Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation IRCCS-ISMETT, Palermo, Italy. 12. Cardiovascular Department, Clinica San Gaudenzio, Novara, Italy. 13. University of Leipzig, Leipzig, Germany. 14. Istituto Clinico Sant'Ambrogio, Clinical & Research Hospitals IRCCS Gruppo San Donato, Milan, Italy. 15. Dresden Heart Center, Department of Cardiac Surgery, Dresden University Hospital, Dresden, Germany. 16. Cardiac Surgery Department, Sant'Orsola Malpighi Hospital, University of Bologna, Bologna, Italy. 17. Hannover Medical School, Hannover, Germany. 18. The Collaborative Research (CORE) Group. 19. GVM Care & Research, Cotignola, Italy. 20. Macquarie University, Sydney, NSW, Australia. 21. Cardiac Surgery Unit, Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ospedali Riuniti, Ancona, Italy.
Abstract
OBJECTIVES: The impact of sutureless and rapid deployment (SURD) valves on the clinical outcomes of patients undergoing minimally invasive aortic valve replacement (MI-AVR) has still to be defined. The aim of this study was to assess clinical characteristics and in-hospital results of patients receiving SURD-AVR through less invasive approaches in the large population of the Sutureless and Rapid Deployment International Registry (SURD-IR). METHODS: Of the 1935 patients who received primary isolated SURD-AVR between 2009 and 2018, a total of 1418 (73.3%) underwent MI interventions and were included in this analysis. SURD-AVR was performed using upper ministernotomy in 56.4% (n = 800) of cases and anterior right thoracotomy in 43.6% (n = 618). Perceval S was implanted in 1011 (71.3%) patients and Edwards Intuity or Intuity Elite in 407 (28.7%) patients. RESULTS: Overall in-hospital mortality and stroke rates were 1.7% and 2%, respectively. A definitive pacemaker implantation was reported in 9% of cases and significantly decreased over the observational period, from 20.6% to 5.6% (P = 0.002). The Perceval valve was associated with shorter operative times and was more frequently implanted in patients receiving anterior right thoracotomy incision. The Intuity valve was preferred in younger patients and revealed superior postoperative haemodynamic results. CONCLUSIONS: SURD-AVR was largely performed through less invasive approaches and can be considered as a primary indication in MI surgery. In the SURD-IR cohort, MI SURD-AVR using both Perceval and Intuity valves appeared a safe and reproducible procedure associated with promising early results.
OBJECTIVES: The impact of sutureless and rapid deployment (SURD) valves on the clinical outcomes of patients undergoing minimally invasive aortic valve replacement (MI-AVR) has still to be defined. The aim of this study was to assess clinical characteristics and in-hospital results of patients receiving SURD-AVR through less invasive approaches in the large population of the Sutureless and Rapid Deployment International Registry (SURD-IR). METHODS: Of the 1935 patients who received primary isolated SURD-AVR between 2009 and 2018, a total of 1418 (73.3%) underwent MI interventions and were included in this analysis. SURD-AVR was performed using upper ministernotomy in 56.4% (n = 800) of cases and anterior right thoracotomy in 43.6% (n = 618). Perceval S was implanted in 1011 (71.3%) patients and Edwards Intuity or Intuity Elite in 407 (28.7%) patients. RESULTS: Overall in-hospital mortality and stroke rates were 1.7% and 2%, respectively. A definitive pacemaker implantation was reported in 9% of cases and significantly decreased over the observational period, from 20.6% to 5.6% (P = 0.002). The Perceval valve was associated with shorter operative times and was more frequently implanted in patients receiving anterior right thoracotomy incision. The Intuity valve was preferred in younger patients and revealed superior postoperative haemodynamic results. CONCLUSIONS: SURD-AVR was largely performed through less invasive approaches and can be considered as a primary indication in MI surgery. In the SURD-IR cohort, MI SURD-AVR using both Perceval and Intuity valves appeared a safe and reproducible procedure associated with promising early results.
Authors: Michael L Williams; Campbell D Flynn; Andrew A Mamo; David H Tian; Utz Kappert; Manuel Wilbring; Thierry Folliguet; Antonio Fiore; Antonio Miceli; Augusto D'Onofrio; Giorgia Cibin; Gino Gerosa; Mattia Glauber; Theodor Fischlein; Francesco Pollari Journal: Ann Cardiothorac Surg Date: 2020-07
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Authors: Milos M Jovanovic; Slobodan V Micovic; Miodrag S Peric; Igor S Zivkovic; Stasa D Krasic; Ognjen S Milicevic; Stefan P Stankovic; Petar M Vukovic Journal: Tex Heart Inst J Date: 2022-01-01
Authors: Domenico Paparella; Giuseppe Santarpino; Marco Moscarelli; Pietro Guida; Adriano De Santis; Khalil Fattouch; Luigi Martinelli; Roberto Coppola; Elisa Mikus; Alberto Albertini; Mauro Del Giglio; Renato Gregorini; Giuseppe Speziale Journal: Interact Cardiovasc Thorac Surg Date: 2021-07-26