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https://www.readbyqxmd.com/read/30367839/perceval-valve-implantation-technical-details-and-echocardiographic-assessment
#1
Vishnu Vasanthan, William Kent, Alexander Gregory, Andrew Maitland, Charles Cutrara, Denis Bouchard, Federico Asch, Corey Adams
The Perceval valve (LivaNova, London, United Kingdom) is a collapsible, sutureless bioprosthetic aortic valve. This novel design is well suited for minimally invasive approaches and has particular advantages for patients with small, calcified annuli. The implantation technique is unique and echocardiographic assessment of valve cage shape, angulation and height are essential. The following discussion provides a framework of technical and sonographic considerations to help surgical teams achieve reproducible success with Perceval valve deployment...
October 24, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30348270/sutureless-aortic-bioprosthesis-replacement-in-elderly-asian-patients-with-aortic-stenosis-experience-in-a-single-institution
#2
Chun-Yu Lin, Hsiu-An Lee, Pyng-Jing Lin, Chun-Li Wang, Kuo-Chun Hung, Feng-Chun Tsai
BACKGROUND: Sutureless aortic valve replacement (SU-AVR) has emerged as a promising alternative for the treatment of patients with aortic valve stenosis. This study aims to assess the safety and efficacy of SU-AVR in an elderly Asian population. METHODS: From June 2015 to May 2016, 15 adults with severe aortic stenosis (9 females) with a median age of 79 years underwent Perceval sutureless bioprosthesis (LivaNova, UK) implantation in a single Taiwanese institution; peri-operative recovery, clinical improvement, and valve performance were analyzed...
August 2018: Biomedical Journal
https://www.readbyqxmd.com/read/30344959/snugger-method-the-oldenburg-modification-of-perceval-implantation-technique
#3
Ahmed Mashhour, Konstantin Zhigalov, Marcin Szczechowicz, Sabreen Mkalaluh, Jerry Easo, Harald Eichstaedt, Dmitry Borodin, Jürgen Ennker, Alexander Weymann
We present a modified implantation technique of the Perceval® sutureless aortic valve (LivaNova, London, United Kingdom) that involves the usage of snuggers for the guiding sutures during valve deployment. Both limbs of each guiding suture are pulled through an elastic tube, which is fixed with a Pean clamp, which tightens the sutures and fixes the prosthesis to the aortic annulus during valve deployment. This method proved safe and useful in over 120 cases. Valve implantation was facilitated and the need for manipulation by the assistant or the nurse was eliminated...
September 26, 2018: World Journal of Cardiology
https://www.readbyqxmd.com/read/30321588/sutureless-valve-replacement-through-a-right-anterior-mini-thoracotomy-in-elderly-patients-with-stenotic-bicuspid-aortic-valve
#4
Mustafa Serkan Durdu, Fatih Gumus, Evren Ozcinar, Mehmet Cakici, Onat Bermede, Irem Dincer, Mustafa Kılıckap, Mustafa Sirlak, Kemalettin Ucanok, Ahmet Ruchan Akar
OBJECTIVE: Several indications for sutureless aortic valve replacement (SU-AVR) have been a matter of debate. We evaluated our experience with Perceval-S® (LivaNova group, Saluggia, Italy) SU-AVR in patients with severe aortic stenosis (AS) involving bicuspid aortic valve (BAV), even though presence of BAV is still considered to be a contraindication for sutureless valves. METHODS: From January 2013 through March 2018, thirteen patients with severe aortic stenosis involving BAV underwent SU-AVR with the Perceval-S® (LivaNova group, Saluggia, Italy) prosthesis in a single center...
October 12, 2018: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30234906/sutureless-aortic-valve-replacement-in-high-risk-patients-neutralizes-expected-worse-hospital-outcome-a-clinical-and-economic-analysis
#5
Emmanuel Villa, Margherita Dalla Tomba, Antonio Messina, Andrea Trenta, Federico Brunelli, Marco Cirillo, Zean Mhagna, Giovanni Alfonso Chiariello, Giovanni Troise
BACKGROUND: Aortic valve replacement (AVR) by sutureless prostheses is changing surgeon options, although which patients benefit most, as well as their possible economic impact is still to be defined. METHODS: Perceval-S prosthesis (LivaNova) is reserved, at the documented Institution, for patients at perceived high surgical risk. This retrospective analysis of outcome and resource consumption compared Perceval with other tissue valves. To clarify the comparison, only patients respecting 'instructions-for-use' of Perceval were reviewed...
September 20, 2018: Cardiology Journal
https://www.readbyqxmd.com/read/30180979/implantation-of-perceval-valve-in-mitral-position-a-new-technique
#6
Marcin Szczechowicz, Ahmed Mashhour, Onise Chaduneli, Alexander Weymann
No abstract text is available yet for this article.
August 2, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29963376/ten-year-experience-with-the-perceval-s-sutureless-prosthesis-lessons-learned-and-future-perspectives
#7
REVIEW
Vincent Chauvette, Amine Mazine, Denis Bouchard
Aortic stenosis has traditionally been addressed with surgical aortic valve replacement (AVR). In recent years, several technologies have emerged as alternative treatment methods for aortic valve disease. Among them, the Perceval (LivaNova, London, UK) is a sutureless valve that has been used in clinical practice for over 10 years. It has been implanted in over 20,000 patients worldwide. With nearly 600 Perceval implants since 2011, the Montreal Heart Institute has developed a worldwide expertise with this technology...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29898147/thrombocytopenia-after-aortic-valve-replacement-comparison-between-sutureless-perceval-s-valve-and-perimount-magna-ease-bioprosthesis
#8
Syed Saleem Mujtaba, Simon Ledingham, Asif Raza Shah, Stephan Schueler, Stephen Clark, Thasee Pillay
INTRODUCTION: The incidence of postoperative thrombocytopenia after aortic valve replacement (AVR) with the Perceval S Sutureless bioprosthesis remains unclear. The aim of this study was to report thrombocytopenia associated with the use of sutureless AVR. METHODS: The data was collected retrospectively for patients who had isolated AVR with sutureless Perceval S valve (Group A: 72 patients) and was compared with patients who underwent isolated sutured AVR with Perimount Magna Ease Bioprosthesis (Group B: 101 patients) in our institution between June 2014 and January 2017...
March 2018: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29898140/aortic-valve-replacement-with-a-conventional-stented-bioprosthesis-versus-sutureless-bioprosthesis-a-study-of-763-patients
#9
Syed Saleem Mujtaba, Simon M Ledingham, Asif Raza Shah, Thasee Pillay, Stephan Schueler, Stephen Clark
OBJECTIVE: The aim of this retrospective study was to compare early postoperative outcomes after aortic valve replacement (AVR) with sutureless bioprostheses and conventional stented bioprostheses implanted through median sternotomy. METHODS: From January 2011 to December 2016, 763 patients underwent aortic valve replacement with bioprostheses; of these, 139 received a Perceval S sutureless valve (Group A) and 624 received a Perimount Magna Ease valve (Group B)...
March 2018: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29866522/early-outcomes-of-sutureless-aortic-valve-replacement-with-the-perceval-s-bioprosthesis
#10
Michael Kosasih, Aubrey A Almeida, Julian A Smith
BACKGROUND: Sutureless aortic valve replacement (SU-AVR) offers an alternative to traditional aortic valve replacement (AVR) and is becoming widely performed in many hospitals. The aim of the current study was to evaluate the early experience in SU-AVR with the Perceval S bioprosthesis at Monash Medical Centre. METHODS: Fifty-two patients who underwent SU-AVR were retrospectively analysed (mean age: 74.8±6.5years). Data regarding preoperative and operative details, hospital stay, postoperative outcomes within 30days after surgery, re-admissions and longer term echocardiographic data were collected from the relevant hospital databases...
May 18, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29804686/transesophageal-echocardiographic-assessment-of-the-sutureless-perceval-aortic-valve
#11
REVIEW
Adam A Dalia, Caroline Hunter, Elliot Woodward, David Dudzinski, Michael Andritsos, Michael Essandoh, Michael Andrawes
No abstract text is available yet for this article.
April 26, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29788476/the-flutter-by-effect-a-comprehensive-study-of-the-fluttering-cusps-of-the-perceval-heart-valve-prosthesis
#12
Ali Aljalloud, Mohamed Shoaib, Sandrine Egron, Jessica Arias, Lachmandath Tewarie, Heike Schnoering, Shahram Lotfi, Andreas Goetzenich, Nima Hatam, Desiree Pott, Zhaoyang Zhong, Ulrich Steinseifer, Rachad Zayat, Ruediger Autschbach
OBJECTIVES: Sutureless aortic valve prostheses are gaining popularity due to the substantial reduction in cross-clamp time. In this study, we report our observations on the cusp-fluttering phenomenon of the Perceval bioprosthesis (LivaNova, London, UK) using a combination of technical and medical perspectives. METHODS: Between August 2014 and December 2016, a total of 108 patients (69% women) with a mean age of 78 years had aortic valve replacement using the Perceval bioprosthesis (34 combined procedures)...
November 1, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29701355/aortic-valve-replacement-with-perceval%C3%A2-bioprosthesis-initial-single-center-experience
#13
Diogo Rijo, Sara Simões Costa, João Pedro Monteiro, Fátima Neves, Luís Vouga, Paulo Neves, Paulo Ponce, Miguel Guerra
INTRODUCTION: Aortic valve replacement (AVR) is the gold standard for the treatment of severe or symptomatic aortic valve stenosis. Less invasive procedures have been developed as an alternative to the conventional technique of full sternotomy approach with stented prosthesis. The Perceval® aortic valve (LivaNova, Milan, Italy) is a sutureless bioprosthesis, of which several reports have shown promising results in terms of mortality, morbidity and hemodynamic performance, especially with a less invasive approach...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29617495/early-clinical-results-of-perceval-sutureless-aortic-valve-in-139-patients-freeman-experience
#14
Syed Saleem Mujtaba, Simon Ledingham, Asif Raza Shah, Stephen Clark, Thasee Pillay, Stephan Schueler
OBJECTIVE: The aim of this retrospective study is to evaluate the safety and performance of the Perceval sutureless valve in patients undergoing aortic valve replacement. We report the 30-day clinical outcomes of 139 patients. METHODS: From January 2014 to December 2016, 139 patients underwent sutureless aortic valve replacement. Their operation notes, National Adult Cardiac Surgery Database and perioperative transoesophageal echocardiography findings were studied retrospectively...
January 2018: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29611217/transcatheter-aortic-valve-in-valve-implantation-for-early-failure-of-sutureless-aortic-bioprosthesis
#15
Xiaotian Sun, Zuorui Song, Daniel Soffer, John P Pirris
We report a case of early failure of a Perceval sutureless aortic bioprosthesis (LivaNova, London, UK) which was treated with a transcatheter valve-in-valve implantation with an Edwards 3 bioprosthesis (Edwards Lifesciences, Irvine, CA).
April 2018: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/29551538/sutureless-aortic-valve-replacement-with-concomitant-valvular-surgery
#16
Cagdas Baran, Mustafa Serkan Durdu, Fatih Gumus, Mehmet Cakici, Mustafa Bahadir Inan, Mustafa Sirlak, Ahmet Ruchan Akar
OBJECTIVES: Sutureless aortic valve replacement (SU-AVR) is an alternative technique to standard aortic valve replacement. We evaluated our experience with the Perceval SU-AVR with concomitant mitral valve surgery, with or without tricuspid valve surgery, and aimed to discuss the technical considerations. METHODS: From January 2013 through June 2016, 30 patients with concomitant severe mitral valve disease, with or without tricuspid valve disease, underwent SU-AVR with the Perceval prosthesis in a single center...
June 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29490027/corrigendum-to-sutureless-prosthesis-for-failed-small-mitroflow-valves-the-perceval-after-mitroflow-procedure-interact-cardiovasc-thorac-surg-2018-doi-10-1093-icvts-ivx434
#17
Giovanni A Chiariello, Emmanuel Villa, Antonio Messina, Margherita Dalla Tomba, Marco Cirillo, Federico Brunelli, Zean Mhagna, Giovanni Troise
No abstract text is available yet for this article.
April 1, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29455818/mitral-regurgitation-exacerbation-due-to-sutureless-aortic-valve-replacement
#18
Timothy Lee, Alexander J C Mittnacht, Shinobu Itagaki, Allan Stewart
Sutureless aortic valves are increasingly used for aortic valve replacement (AVR) with excellent outcomes. Implantation requires device expansion in a subannular position within the native aortic root. We report a patient with severe aortic stenosis who received a Perceval sutureless AVR (LivaNova, London, United Kingdom), resulting in a competent prosthesis with an absence of paravalvular leak and aortic regurgitation. However, this implantation resulted in the exacerbation of mitral regurgitation. The sutureless valve required explantation, and a traditional sutured valve was subsequently implanted, which returned the mitral regurgitation to baseline...
March 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29453309/sutureless-perceval-aortic-valve-versus-conventional-stented-bioprostheses-meta-analysis-of-postoperative-and-midterm-results-in-isolated-aortic-valve-replacement
#19
REVIEW
Massimo Meco, Andrea Montisci, Antonio Miceli, Paolo Panisi, Francesco Donatelli, Silvia Cirri, Matteo Ferrarini, Antonio Lio, Mattia Glauber
BACKGROUND: Aortic stenosis is the most common valvular disease and has a dismal prognosis without surgical treatment. The aim of this meta-analysis was to quantitatively assess the comparative effectiveness of the Perceval (LivaNova) valve versus conventional aortic bioprostheses. METHODS AND RESULTS: A total of 6 comparative studies were identified, including 639 and 760 patients who underwent, respectively, aortic valve replacement with the Perceval sutureless valve (P group) and with a conventional bioprosthesis (C group)...
February 16, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29408354/increased-gradients-after-aortic-valve-replacement-with-the-perceval-valve-the-role-of-oversizing
#20
Alfredo Giuseppe Cerillo, Francesca Amoretti, Massimiliano Mariani, Emanuele Cigala, Michele Murzi, Tommaso Gasbarri, Marco Solinas, Dante Chiappino
BACKGROUND: Significant underexpansion or distortion of valved stents may be associated with altered leaflet function, leading to increased transprosthetic gradients and, possibly, early structural degeneration. We investigated the relationship between a computed tomography measure of the degree of oversizing and the early hemodynamic and clinical outcomes in patients undergoing aortic valve replacement with the Perceval sutureless aortic valve (LivaNova, Saluggia, Italy). METHODS: The degree of oversizing of the implanted prosthesis was calculated as the ratio between the patients' aortic annulus cross-sectional area and the ex vivo cross-sectional area of the implanted prosthesis in 151 Perceval patients who underwent preoperative cardiac computed tomography...
July 2018: Annals of Thoracic Surgery
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