keyword
https://read.qxmd.com/read/38001989/less-is-more-combined-approaches-to-improve-mortality-and-morbidity-after-aortic-valve-replacement
#21
JOURNAL ARTICLE
Elisa Mikus, Mariafrancesca Fiorentino, Diego Sangiorgi, Simone Calvi, Elena Tenti, Andrea Cavallucci, Elena Tremoli, Alberto Tripodi, Maurizio Pin, Carlo Savini
BACKGROUND: Nowadays, one of the main goals of aortic valve surgery is to reduce the biological impact, mortality, and complications. It is well-known that long operative times in terms of the extracorporeal circulation, but above all, of the aortic cross-clamp time (ACC), represent a risk factor for mortality in patients undergoing cardiac surgery. In order to shorten the aortic cross-clamp time, many technological improvements, such as sutureless prostheses, have been introduced, but their actual effectiveness has not been proven yet...
November 7, 2023: Biomedicines
https://read.qxmd.com/read/37929628/root-commando-operation-with-a-modified-self-assembled-aortic-root-conduit-for-endocarditis-after-sutureless-aortic-valve-replacement
#22
Anton Pechenenko, Maksym Rzhanyi, Robert Pruna-Guillen, María Ascaso, Jorge Alcocer, Eduard Quintana
We present a case of a Staphylococcus epidermidis early prosthetic valve endocarditis after minimally invasive sutureless aortic valve replacement. The patient developed a root abscess with a fistula, severe mitral and periprosthetic regurgitations, with a large mitral vegetation and a residual patent foramen ovale. The surgical approach consisted of a redo median sternotomy, explantation of a sutureless aortic prosthesis, resection of an intervalvular fibrosa and anterior mitral leaflet and debridement of an aortic root-left ventricle outflow tract abscess...
November 6, 2023: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://read.qxmd.com/read/37889214/endothelial-microparticles-markers-of-inflammatory-response-after-sutureless-valve-implantation
#23
RANDOMIZED CONTROLLED TRIAL
Jenny Lourdes Rivas de Oliveira, Magaly Arrais Dos Santos, Ari Timerman
INTRODUCTION: Systemic inflammatory response syndrome (SIRS) is related to increased circulating endothelial microparticles (EMP). OBJECTIVE: The aim of this study was to compare the plasma concentration of EMP between patients undergoing aortic valve replacement with conventional bioprosthesis implantation and Perceval™ S (LivaNova) and to evaluate its impact on the inflammatory response in the short-term follow-up. METHODS: This is a randomized clinical trial with 24 patients submitted to isolated aortic valve replacement divided into two groups: Perceval™ S (Group P) and conventional bioprostheses (Group C)...
October 27, 2023: Brazilian Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37882608/transcatheter-aortic-valve-implantation-versus-sutureless-aortic-valve-replacement-a-single-centre-cost-analysis
#24
JOURNAL ARTICLE
Jarne De Paepe, Marie Lamberigts, Bart Meuris, Steven Jacobs, Tom Adriaenssens, Christophe Dubois, Peter Verbrugghe
AIMS: Sutureless aortic valve replacement (SU-AVR) and transcatheter aortic valve implantation (TAVI) are both viable therapeutic interventions for aortic stenosis in elderly patients. Meta-analyses show similar all-cause mortality for both techniques albeit with a different pattern of adverse effects. This study means to compare costs and, to a lesser extent, clinical outcomes of both techniques. METHODS: A retrospective single-centre analysis was performed for patients receiving SU-AVR or TAVI from 2008 to 2019...
October 26, 2023: Acta Cardiologica
https://read.qxmd.com/read/37864043/development-of-novel-sutureless-balloon-expandable-fetal-heart-valve-device-using-absorbable-polycaprolactone-leaflets
#25
JOURNAL ARTICLE
Sanchita S Bhat, Hieu T Bui, Anna Farnan, Katherine Vietmeyer, Aimee K Armstrong, Christopher K Breuer, Lakshmi Prasad Dasi
Congenital heart disease (CHD) accounts for nearly one-third of all congenital defects, and patients often require repeated heart valve replacements throughout their lives, due to failed surgical repairs and lack of durability of bioprosthetic valve implants. This objective of this study is to develop and in vitro test a fetal transcatheter pulmonary valve replacement (FTPVR) using sutureless techniques to attach leaflets, as an option to correct congenital defects such as pulmonary atresia with intact ventricular septum (PA/IVS), in utero...
October 20, 2023: Annals of Biomedical Engineering
https://read.qxmd.com/read/37834910/transcatheter-aortic-valve-replacement-in-degenerated-perceval-bioprosthesis-clinical-and-technical-aspects-in-32-cases
#26
JOURNAL ARTICLE
Giovanni Concistrè, Tommaso Gasbarri, Marcello Ravani, Anees Al Jabri, Giuseppe Trianni, Giacomo Bianchi, Rafik Margaryan, Francesca Chiaramonti, Michele Murzi, Enkel Kallushi, Egidio Varone, Simone Simeoni, Alessandro Leone, Andrea Farneti, Sergio Berti, Marco Solinas
BACKGROUND: Sutureless aortic bioprostheses are increasingly being used to provide shorter cross-clamp time and facilitate minimally invasive aortic valve replacement. As the use of sutureless valves has increased over the past decade, we begin to encounter their degeneration. We describe clinical outcomes and technical aspects in patients with degenerated sutureless Perceval (CorCym, Italy) aortic bioprosthesis treated with valve-in-valve transcatheter aortic valve replacement (VIV-TAVR)...
September 28, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37772053/an-unusual-case-of-ascending-aorta-dissection-4-years-after-perceval-sutureless-bioprosthesis-implantation-easier-access-to-diagnosis-through-the-right-parasternal-longitudinal-echocardiographic-window
#27
Andrea Sonaglioni, Enzo Grasso, Gian Luigi Nicolosi, Roberta Trevisan, Gian Luca Martinelli, Michele Lombardo
Sutureless bioprostheses are more frequently used for the surgical treatment of elderly patients with high burden of comorbidity, who are candidates to aortic valve replacement (AVR). Among the sutureless bioprostheses, the Perceval valve has shown a good midterm durability, with very few reports of valve deterioration and low risk of complications. Herein, we present an unusual case of ascending aorta dissection which occurred 4 years after AVR with a Perceval sutureless pericardial bioprosthesis, likely related to the peculiar prosthetic design...
2023: Journal of Cardiovascular Echography
https://read.qxmd.com/read/37728601/retrolental-cohesive-ophthalmic-viscoelastic-injection-in-severely-subluxated-cataracts-the-viscolift-technique
#28
JOURNAL ARTICLE
D Iannetta, V Romano, N Valsecchi, M Mesiani, A Moramarco, L Fontana
INTRODUCTION: To describe a novel surgical approach in the management of subluxated cataracts. METHODS: A 70-year-old Caucasian male with a subluxated cataract in the left eye was referred to our clinic at the Azienda Ospedaliero-Universitaria di Bologna- Ophthalmology Unit. The ophthalmic examination revealed a best-corrected visual acuity (BCVA) of 20/200 in the left eye with monocular diplopia and a severely subluxated NO6/NC6 cataract and the fundus examination did not reveal any vitreoretinal abnormalities...
September 20, 2023: European Journal of Ophthalmology
https://read.qxmd.com/read/37714757/sutureless-versus-transcatheter-valves-in-patients-with-aortic-stenosis-at-intermediate-risk-a-multi-institutional-european-study
#29
MULTICENTER STUDY
Claudio Muneretto, Lorenzo Di Bacco, Francesco Pollari, Massimo Baudo, Marco Solinas, Michele D'Alonzo, Marco Di Eusanio, Fabrizio Rosati, Thierry Folliguet, Theodor Fischlein
BACKGROUND: Recent randomized controlled trials showed comparable short-term outcomes of transcatheter aortic valve implantation versus surgical aortic valve replacement in intermediate and low-risk patients. However, independent studies comparing transcatheter aortic valve implantation results versus surgical aortic valve replacement at 5 years showed worsening outcomes in patients treated with transcatheter aortic valve implantation. The aim of this study was to analyze mid- to long-term outcomes of patients with isolated aortic stenosis and an intermediate-risk profile who underwent aortic valve replacement using a sutureless valve versus transcatheter aortic valve implantation...
November 2023: Surgery
https://read.qxmd.com/read/37671132/case-report-infective-endocarditis-after-transcatheter-aortic-valve-implantation-surgically-treated-with-sutureless-prosthesis-and-ascending-aorta-replacement
#30
Francesco Cabrucci, Beatrice Bacchi, Riccardo Codecasa, Pierluigi Stefàno
Infective endocarditis on transcatheter aortic valve implantation (TAVI) represents an increasingly frequent challenge for cardiac surgeons. Patients undergoing TAVI usually have high mortality risk scores and unsuitable anatomy for the traditional surgical approach. Therefore, surgical planning is crucial, albeit sometimes intraoperative findings can be unexpected and arduous. We describe a case of infective endocarditis on TAVI in a patient with a porcelain aorta and "hostile" aortic root surgically treated with Perceval sutureless prosthesis and ascending aorta replacement...
2023: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/37658743/minimally-invasive-versus-transcatheter-aortic-valve-replacement-an-updated-meta-analysis-and-systematic-review
#31
REVIEW
Adham Ahmed, Ahmed K Awad, Kathryn S Varghese, Joshua Mathew, Shayan Huda, Jerrin George, Serena Mathew, Omar A Abdelnasser, Ayman K Awad, Dave M Mathew
OBJECTIVE: Transcatheter aortic valve replacement (TAVR) has arisen as a viable alternative to surgery. Similarly, minimally invasive surgical aortic valve replacement (mini-SAVR), such as ministernotomy and minithoracotomy, have also gained interest. We conducted a pairwise meta-analysis to further investigate the efficacy of TAVR versus mini-SAVR. METHODS: Medical databases were comprehensively searched for studies comparing TAVR with a mini-SAVR modality, defined as minimally invasive aortic surgery, ministernotomy, minithoracotomy, or rapid-deployment or sutureless SAVR...
2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37606471/predictors-of-new-and-persistent-new-left-bundle-branch-block-one-year-after-the-implantation-of-a-sutureless-and-rapid-deployment-aortic-valve-prosthesis
#32
JOURNAL ARTICLE
Rafał Januszek, Robert Balan
INTRODUCTION: Conduction disorders following aortic valve replacement therapy (AVR), either surgical or percutaneous, are related to a higher risk of complete atrioventricular block and permanent pacemaker implantation (PPI). AIM: The objective of this study was to assess risk factors regarding the incidence of new postoperative and persistent new left bundle branch block (LBBB) 1 year after the implantation of a sutureless/rapid-deployment (SURD) aortic valve prosthesis...
August 3, 2023: Diseases (Basel)
https://read.qxmd.com/read/37585809/sutureless-perceval-valve-size-matters
#33
EDITORIAL
Adham Elmously, Shubham Lahan, Qasim Al Abri, Moritz C Wyler von Ballmoos, Mahesh Ramchandani
No abstract text is available yet for this article.
2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37564970/a-comparative-study-of-minimally-invasive-aortic-valve-replacement-with-sutureless-biological-versus-mechanical-prostheses
#34
JOURNAL ARTICLE
Michał Bociański, Mateusz Puślecki, Anna Olasińska-Wiśniewska, Bartłomiej Perek, Sebastian Stefaniak, Piotr Buczkowski, Marek Jemielity
INTRODUCTION: The ministernotomy approach with sutureless aortic bioprosthesis may provide an attractive and safe option for aortic valve disease patients. AIM: To assess the early and mid-term outcomes of minimally invasive aortic valve replacement (miniAVR) with sutureless vs. standard prostheses. MATERIAL AND METHODS: The study involved 76 consecutive patients (51 males and 25 females) with mean age of 63.2 years who were treated with miniAVR between 2015 and 2022...
June 2023: Polish Journal of Cardio-Thoracic Surgery
https://read.qxmd.com/read/37504567/conventional-vs-sutureless-aortic-valve-bioprosthesis-is-faster-better
#35
JOURNAL ARTICLE
Ali Aljalloud, Ajay Moza, Jessica Paola Arias, Matthias Menne, Michael Becker, Konstantina Spetsotaki
Purpose : The benefits of sutureless compared to conventional aortic valve prosthesis replacement remain controversial. Supposed advantages of sutureless aortic valve replacement include shortened cross-clamp and implantation time, as well as improved overall safety and good post-operative performance. We aimed to compare the early outcomes and performance of sutureless aortic valve replacement (su-AVR) with the sutureless Perceval (Corcym, Milan, Italy) vs. the conventional AVR with a conventional counterpart, in this case, the Labcor Dokimos Plus (LDP) aortic bioprosthesis...
July 20, 2023: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/37458235/the-sutureless-biological-bentall-procedure-a-new-technique-to-create-a-modular-valve-conduit-construct
#36
JOURNAL ARTICLE
Robert P Gallegos, Borut Gersak
The Perceval sutureless valve (Corcym, Saluggia, Italy) has been effectively adopted by surgeons for the treatment of degenerative aortic valve stenosis. Its simplified true sutureless implantation technique has proven useful for minimally invasive cases, but the use of Perceval as part of more complex root replacement has not previously been described. We present a novel technical modification to the manufactured biologic Bentall, called the sutureless biological Bentall. This technique allows for a true modular valve-conduit construction that will simplify future reintervention...
July 17, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37438205/sutureless-aortic-valve-replacement-what-does-a-shorter-cross-clamp-time-gain-the-patient
#37
EDITORIAL
Kimberly A Holst, J Trent Magruder, Vinod H Thourani
No abstract text is available yet for this article.
June 17, 2023: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/37415531/sutureless-valves-versus-aortic-root-enlargement-for-aortic-valve-replacement-in-small-aortic-annulus-a-systematic-review-and-pooled-analysis
#38
REVIEW
Rajat Agarwal, Amiy Arnav, Ashis Ranjan, Shiv Mudgal, Dharmendra Singh
BACKGROUND: Very few studies provide direct comparisons between aortic root enlargement and sutureless valve implantation in patients with a small aortic annulus who underwent aortic valve replacement. This study aims to provide comparative outcomes between the two in such a subset of patients, through a systematic review and pool analysis. METHODS: The PubMed, Scopus and Embase databases were searched using the appropriate terms. The data from original articles mentioning aortic root enlargement and sutureless valves in a single or comparative study with another group of patients with a small aortic annulus were pooled and analyzed using descriptive statistics...
July 7, 2023: Asian Cardiovascular & Thoracic Annals
https://read.qxmd.com/read/37401432/cost-effectiveness-and-clinical-outcome-of-transcatheter-versus-sutureless-aortic-valve-replacement
#39
JOURNAL ARTICLE
Cenk Indelen, Tolga Bas, Ahmet Kar, Ebsar Ergenç, Burcin Cayhan Karademir, Mesut Sismanoglu, Kaan Kirali
BACKGROUND: Sutureless aortic valve replacement (SU-AVR) and transcatheter aortic valve implantation (TAVI) are becoming increasingly common. The aim of this study is to compare the clinical outcome and cost-effectiveness of the two methods. METHODS: In this study, cross-sectional retrospective data were collected on 327 patients who underwent SU-AVR (n = 168) and TAVI (n = 159). Homogeneous groups were provided by the "propensity score matching" method, and 61 patients from the SU-AVR group and 53 patients from the TAVI group were included in the study sample...
June 25, 2023: Heart Surgery Forum
https://read.qxmd.com/read/37374330/sutureless-aortic-valve-prosthesis-in-redo-procedures-single-center-experience
#40
JOURNAL ARTICLE
Alina Zubarevich, Eleftherios T Beltsios, Arian Arjomandi Rad, Lukman Amanov, Marcin Szczechowicz, Arjang Ruhparwar, Alexander Weymann
Background and Objectives : Sutureless aortic valve prostheses have presented favorable hemodynamic performance while facilitating minimally invasive access approaches. As the population ages, the number of patients at risk for aortic valve reoperation constantly increases. The aim of the present study is to present our single-center experience in sutureless aortic valve replacement (SU-AVR) in reoperations. Materials and Methods : The data of 18 consecutive patients who underwent SU-AVR in a reoperation between May 2020 and January 2023 were retrospectively analyzed...
June 11, 2023: Medicina
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