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https://www.readbyqxmd.com/read/29302952/letter-to-the-editor-thrombocytopenia-after-sutureless-aortic-valve-implantation-does-it-really-matter
#1
G Santarpino, F Vogt
Despite the limited clinical relevance of thrombocytopenia after bioprosthetic aortic valve replacement (AVR), the postoperative depletion of platelet count continues to attract the attention of many authors. The development of thrombocytopenia has been evaluated either in patients receiving a sutureless bioprosthesis (1,2) or in those undergoing transcatheter aortic valve implantation, where cardiopulmonary bypass bears little or no relation to this phenomenon (3). Recently, Sánchez et al. (1) have published their findings on this topic, but their limited experience with the devices used makes their study of doubtful interest...
July 2017: Journal of Heart Valve Disease
https://www.readbyqxmd.com/read/29297908/-transcatheter-valve-in-valve-implantation-in-a-patient-with-a-degenerative-sutureless-aortic-bioprosthesis-case-report-and-literature-review
#2
Corrado Lettieri, Michele Romano, Nicola Camurri, Tullio Niglio, Federica Serino, Francesca Cionini, Nicola Baccaglioni, Francesca Buffoli, Renato Rosiello, Manfredo Rambaldini
Sutureless aortic bioprostheses (SAB) provide shorter aortic cross-clamp time and cardiopulmonary bypass duration compared to conventional aortic valve replacement. Similarly to other bioprostheses, reintervention may become necessary in some cases because of long-term structural degeneration of the valve. Valve-in-valve (ViV) transcatheter aortic valve replacement may represent an effective and safe alternative to aortic valve replacement in patients with degenerated bioprostheses who carry a high risk for reintervention...
December 2017: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/29288660/novel-treatment-of-a-degenerated-bioroot-with-the-use-of-the-sutureless-valve-technique
#3
Thijs Stoker, Ahmed Mashhour, Jerry Easo, Kay Kronberg, Jürgen Ennker, Alexander Weymann
We describe three patients with severe aortic regurgitation after aortic root replacement using the Medtronic Freestyle® bioprosthesis. In two cases, the indication was endocarditis. The third case showed rupture of the right coronary cusp. To achieve fewer complications, lower operative risk and save operative and cross-clamp times, implantation of a sutureless bioprosthesis in a valve-in-valve manner was performed. In two cases, a Perceval bioprosthesis and in the other case, a 3f-Enable bioprosthesis were used...
December 27, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29243687/sutureless-valves-and-the-quality-of-perfusion-towards-a-goal-directed-aortic-valve-replacement
#4
Antonino S Rubino, Carmelo Mignosa
BACKGROUND: Aim of this study was to assess the potential differences in respecting the principles of goal-directed perfusion between aortic valve replacement with sutureless vs conventional stented bioprostheses. METHODS: Data from 94 consecutive patients undergoing aortic valve replacement with Perceval sutureless valve, with or without concomitant CABG, were compared to a contemporary cohort of 116 patients receiving conventional stented bioprostheses. Propensity score matching was used to reduce selection bias...
December 14, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29237015/perceval-less-invasive-aortic-replacement-register-multicentric-spanish-experience-with-the-perceval-s-bioprosthesis-in-moderate-high-risk-aortic-surgery
#5
Elisabet Berastegui García, Maria Luisa Camara Rosell, Francisco Estevez Cid, Eladio Sanchez Dominguez, Remedios Rios Barrera, Fabrizio Sbraga, Julio Garcia Puente, Elena Rosello Diez, Gregorio Pablo Cuerpo Caballero, Juan Bustamante Munguira, Guillermo Reyes Copa, Marian Tena Pajuelo, Santiago Serrano Fiz, Jose Alfonso Buendía Miñano, Ivan García Martin, Jose Cuenca Castillo, Sergio Cánovas Lopez, Angel Gonzalez Pinto, Xavier Ruyra Baliarda
OBJECTIVES: The development of new percutaneous and surgical techniques has reduced the risk associated with aortic valve replacement procedures. We present the results of a Spanish register after initiating a programme for sutureless prostheses in moderate-high-risk patients. METHODS: This prospective multicentre study was carried out from November 2013 to November 2016. Data were obtained from 448 patients in whom a Perceval S prosthesis was implanted. RESULTS: The mean age was 79...
December 8, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29233766/use-of-the-perceval-sutureless-valve-in-active-prosthetic-aortic-valve-endocarditis
#6
Elena Roselló-Díez, Gregorio Cuerpo, Francisco Estévez, C Christian Muñoz-Guijosa, Manel Tauron, José J Cuenca, Ángel Pinto, Josep María Padró
BACKGROUND: Surgical treatment of active prosthetic aortic valve endocarditis presents a challenge for cardiac surgeons because of tissue friability and destruction caused by infection. Sutureless prostheses, such as the Perceval S® (LivaNova, Saluggia, Italy), have emerged as an option among the different surgical approaches for these complicated cases. METHODS: This study presents data from nine patients who underwent aortic valve re-replacement with the Perceval S® due to active prosthetic aortic valve endocarditis, between January 2014 and August 2016...
December 9, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29233765/use-of-the-perceval-sutureless-valve-in-active-prosthetic-aortic-valve-endocarditis-commentary
#7
Pascal M Dohmen
No abstract text is available yet for this article.
December 9, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29221975/a-story-of-migration-of-a-surgically-implanted-aortic-sutureless-valve
#8
Alexander Amir, Albert Moore, George Carvalho, Takumi Codère-Marayuma, Thomas Schricker, Valerie Villeneuve, Roupen Hatzakorzian
No abstract text is available yet for this article.
June 21, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29200087/rapid-explantation-of-rapid-deployment-sutureless-valve-in-case-of-acute-endocarditis-how-to-remove-safely-sutureless-perceval-s-prostheses
#9
Lorenzo Di Bacco, Steffen Pfeiffer, Theodor J M Fischlein, Giuseppe Santarpino
We report a case of infective endocarditis on a Perceval S aortic valve bioprosthesis, and we describe a feasible and useful technique that can help remove the infected valve. These maneuvers consist of an "x-movement" reached with the aid of anatomical forceps. The risk of infective endocarditis in patients with prosthetic valves is a well-known phenomena in cardiac surgery, and it can represent a life-threatening event in many cases. According to guidelines, an emergency surgical intervention is required in case of high risk of embolization, vegetation superior than 1 cm or acute cardiac failure secondary to the acute valve dysfunction...
November 2017: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29175769/valve-in-valve-transcatheter-aortic-valve-implantation-into-a-novel-sutureless-bioprosthesis-technical-considerations
#10
Martin Andreas, Iuliana Coti, Guenther Laufer, Johannes Kastner
No abstract text is available yet for this article.
November 28, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29160046/sutureless-aortic-valve-and-tavi-pros-and-cons
#11
Thierry Folliguet
Aortic valve replacement with biological heart valves remains the gold standard for treating operable older patients with symptomatic aortic stenosis. In the last years trans aortic valve implantation (TAVI) has been shown to be superior to medical treatment in high risks patients with severe aortic stenosis. The transfemoral TAVI route has been also found in randomized controlled trials to be as good if not superior to standard AVR at 5 years in high risk patients. In intermediate risks patients TAVI was found in randomized controlled trials as a noninferior alternative to surgery, with a different pattern of adverse events associated with each procedure...
November 20, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29160045/stentless-sutureless-and-transcatheter-valves-a-comparison-of-the-hemodynamic-performance-of-different-prostheses-concept
#12
Alberto Repossini, Theodor Fischlein, Marco Solinas, Lorenzo DI Bacco, Bruno Passaretti, Herko Grubitzsch, Thierry Folliguet, Giuseppe Santarpino, Roberto DI Bartolomeo, François Laborde, Claudio Muneretto
BACKGROUND: Stentless aortic valves have been developed to overcome obstructive limitations associated with stented bioprostheses. A new concept of surgical sutureless (SU) bioprosthesis has been developed in the last decade. In this multi-institutional study we sought to compare hemodynamics of different bioprosthesis concept as transcatheter (TAVR), Livanova Perceval S sutureless valve and Freedom Solo Stentless (FS) valve in patients undergoing aortic valve replacement (sAVR). METHODS: From 2010 to 2016, 478 patients underwent sAVR with FS, 518 Perceval S and 367 patients underwent TAVR...
November 20, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29160044/aortic-valve-surgery-of-the-21st-century-sutureless-avr-versus-tavi
#13
Victor S Costache, Catalina Arsenescu, Andreea Costache, Horatiu Moldovan
A new controversy is raising in cardiovascular surgery, whether or not the new generation transcatheter valves used for valve implantation are superior to surgical techniques used for traditional valve replacement. If such a debate is far from being an issue for mitral valve treatment, where minimal invasive, (robotic or video-assisted) mitral valve repair has become the gold standard for mitral valve treatment while transcatheter mitral valve solutions are lagging behind(1-4), there are many voices stating that the future of aortic valve treatment will mainly be transcatheter(5)...
November 20, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29125270/alternative-incision-sutureless-aortic-valve-replacement-propensity-matched-comparison-between-partial-sternotomy-and-right-anterior-minithoracotomy
#14
Daniyar Gilmanov, Marco Solinas, Giuseppe Santarpino, Pier A Farneti, Michele Murzi, Theodor Fischlein, Steffen Pfeiffer
BACKGROUND: Sutureless aortic valve prostheses have the potential to augment the adoption of alternative incision approaches for aortic valve replacement (AVR). Still, we lack the evidence on which surgical approach is best associated with sutureless AVR. METHODS: Data on 483 patients undergoing sutureless small incision AVR between 2010-2014 in two European institutions (207 with partial sternotomy (MS) and 276 via right anterior minithoracotomy (RAMT)) have been retrospectively analyzed...
November 10, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29115105/the-role-of-su-avr-in-tomorrow-s-practice-of-avr
#15
Dani Bitran, Shuli Silberman
Conventional Aortic Valve Replacemen (C-AVR) is the golden standard in the treatment of Severe Aortic Stenosis (AS). Despite its tremendous success there are many problems associated with the procedure. A large segment of the AS population is not suitable for surgery because of the excessive risk. In the last years Transcatheter Aortic Valve Implantation (TAVI) and the use of sutureless valves are new technologies that aim to replace the C-AVR. In this review we compare the three therapeutic modalities in treating severe AS...
November 7, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29103292/the-future-of-surgical-aortic-valve-replacement-and-the-role-of-sutureless-technology
#16
Selim Isbir
Aortic valve stenoses has become the most frequent type of valve disease in worldwide. Surgical aortic valve replacement is still the gold standard therapy. More recently transcatheter aortic valve implantation has been demonstrated to be noninferior in patients with high and intermediate risk patients. Sutureless aortic valves were designed to simplify the surgical aortic valve replacement. With the aid of this new technology,the invasiveness of surgery can be reduced with potential improvements in outcome...
November 3, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29092108/sutureless-versus-transfemoral-transcatheter-aortic-valve-implant-a-propensity-score-matching-study
#17
Giuseppe Santarpino, Ferdinand Vogt, Steffen Pfeiffer, Angelo M Dell'Aquila, Jürgen Jessl, Federica Cuomo, Che von Wardenburg, Theodor Fischlein, Matthias Pauschinger, Johannes Schwab
BACKGROUND: Transcatheter aortic valve implantation (TAVI), especially via the transfemoral (TF) route, is increasingly performed in patients considered in the 'gray zone' between TAVI and surgery. However, the best treatment option in this patient population remains to be established. METHODS: Since 2010, a total of 923 patients underwent either TAVI (n = 538) or sutureless aortic valve replacement (AVR) (n = 385) at the authors' institutions. Among these patients, 79 treated with TF-TAVI were compared with 79 propensity score-matched patients who had undergone elective isolated AVR with the sutureless Perceval bioprosthesis...
May 2017: Journal of Heart Valve Disease
https://www.readbyqxmd.com/read/29092107/tackling-the-issue-of-high-postoperative-pacemaker-implantation-rates-in-sutureless-aortic-valve-replacement-should-balloon-inflation-be-removed-from-the-implantation-method-of-the-perceval-prosthesis
#18
Mathieu Charles Blouin, Ismail Bouhout, Philippe Demers, Michel Carrier, Louis Perrault, Yoan Lamarche, Ismail El-Hamamsy, Denis Bouchard
BACKGROUND: Sutureless aortic valve replacement (AVR) is an emerging alternative to standard AVR in elderly and high-risk patients. This procedure is associated with a high rate of postoperative permanent pacemaker implantation (PPI). The study aim was to assess the impact on the rate of PPI of implanting the Perceval prosthesis without using balloon inflation. METHODS: A total of 159 patients who underwent sutureless AVR using the Perceval prosthesis was included...
May 2017: Journal of Heart Valve Disease
https://www.readbyqxmd.com/read/29071795/hemodynamic-assessment-of-perceval-sutureless-bioprosthesis-by-dobutamine-stress-echocardiography
#19
Antonino S Rubino, Fausto Biancari, Vincenzo Caruso, Vincenzo Lavanco, Fiorella Privitera, Ivana Rinaldi, Maria Sanfilippo, Giovanni Millan, Lucia V D'Urso, Sergio Castorina, Carmelo Mignosa
OBJECTIVES: The aim of this study was to evaluate the hemodynamic performance of a sutureless bioprosthesis under high workload at mid-term follow-up. METHODS: Thirty-two patients who underwent isolated aortic valve replacement with a Perceval sutureless bioprosthesis with a minimum follow-up of 1 year were enrolled in this study. S size prosthesis was deployed in 10 patients (31.3%), M size in 9 (28.1%), L size in 8 (25%) and XL size in 5 (15.6%). Effective orifice area (EOA), EOA index (EOAi), and transvalvular gradients were assessed at rest and during dobutamine stress echocardiography (DSE) a median of 19...
October 26, 2017: Echocardiography
https://www.readbyqxmd.com/read/29062747/comparison-of-hemodynamic-and-clinical-outcomes-of-transcatheter-and-sutureless-aortic-bioprostheses-how-to-make-the-right-choice-in-intermediate-risk-patients
#20
Augusto D'Onofrio, Assunta Fabozzo, Gino Gerosa
Current surgical treatment options for aortic valve stenosis (AS), as alternatives to that of conventional operation with a midline sternotomy, include sutureless valve replacement (SUAVR) and transcatheter valve implantation (TAVI). Patients with high surgical risk, or those who are judged to be inoperable, are typically good candidates for the TAVI procedure. The best treatment option in patients with an intermediate risk profile, however, the so called "grey zone", is still currently under debate. Sutureless aortic valve replacement has been recently presented as a valid alternative for patients with low- to intermediate-risk...
September 2017: Annals of Cardiothoracic Surgery
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