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suture less aortic valve

Julinda Mehilli, David Jochheim, Mohamed Abdel-Wahab, Konstantinos D Rizas, Hans Theiss, Nina Spenkuch, Magda Zadrozny, Moritz Baquet, Mohamed El-Mawardy, Takao Sato, Philipp Lange, Christian Kuppatt, Martin Greif, Jörg Hausleiter, Axel Bauer, Florian Schwarz, Maximilian Pichlmaier, Christian Hagl, Gert Richardt, Steffen Massberg
AIMS: In the current study we assess the impact of two different access-site suture-mediated closure devices (SMCD), ProGlide and Prostar, on vascular and bleeding complications after transfemoral transcatheter aortic valve implantation (TAVI), as well as on long-term mortality. METHODS AND RESULTS: From 2008 to 2013, 1,022 patients underwent transfemoral TAVI in two German centres using ProGlide (n=506) and Prostar (n=516) SMCD to close the access site. The primary outcome was the incidence of peri-TAVI major vascular complications according to Valve Academic Research Consortium-2 (VARC-2) definitions...
November 20, 2016: EuroIntervention
Paolo Berretta, Marco Di Eusanio
Aortic valve stenosis is the most common valve disease in the western world. Over the past few years the number of aortic valve replacement (AVR) interventions has increased with outcomes that have been improved despite increasing age of patients and increasing burden of comorbidities. However, despite such excellent results and its well-established position, conventional AVR has undergone great development over the previous two decades. Such progress, by way of less invasive incisions and use of new technologies, including transcatheter aortic valve implantation and sutureless valve prostheses, is intended to reduce the traumatic impact of the surgical procedure, thus fulfilling lower risk patients' expectations on the one hand, and extending the operability toward increasingly high-risk patients on the other...
September 2016: Journal of Geriatric Cardiology: JGC
Candice Y Lee, Joshua K Wong, Ronald E Ross, David C Liu, Kamal R Khabbaz, Angelo J Martellaro, Heather R Gorea, Jude S Sauer, Peter A Knight
OBJECTIVE: Prostheses attachment is critical in aortic valve replacement surgery, yet reliable prosthetic security remains a challenge. Accurate techniques to analyze prosthetic fixation pressures may enable the use of fewer sutures while reducing the risk of paravalvular leaks (PVL). METHODS: Customized digital thin film pressure transducers were sutured between aortic annulus models and 21-mm bioprosthetic valves with 15 × 4-mm, 12 × 4-mm, or 9 × 6-mm-wide pledgeted mattress sutures...
September 2016: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Nawsad Saleh, Rodney De Palma, Magnus Settergren, Andreas Rück
OBJECTIVES: To evaluate the efficacy and safety of a double Prostar XL suture-based closure technique compared to a conventional single Prostar XL technique in elective transcatheter aortic valve implantation (TAVI) via the common femoral artery. BACKGROUND: TAVI is recommended as a treatment for symptomatic severe aortic stenosis for those who are at high or prohibitive risk of surgical valve replacement. Vascular complications remain the most frequent category of procedural complication...
December 1, 2015: Catheterization and Cardiovascular Interventions
Marco Di Eusanio, Francesco Saia, Giovanni Pellicciari, Kevin Phan, Marinella Ferlito, Gianni Dall'Ara, Roberto Di Bartolomeo, Antonio Marzocchi
Sutureless aortic valve implantation has emerged as an innovative alternative for treatment of aortic stenosis. By avoiding the placement of sutures, this approach aims to improve surgical outcomes by facilitating less traumatic minimally invasive approaches and reducing cross-clamp and cardiopulmonary bypass duration. However, the absence of sutures may have detrimental effects after sutureless interventions, including paravalvular leakages, valve dislocation, and stent-infolding. Transcatheter aortic valve-in-valve implantation (A-ViV) is emerging as a valuable procedure in patients with dysfunctioning biological aortic valves who are deemed inoperable with conventional surgery...
March 2015: Annals of Cardiothoracic Surgery
Domenico Mazzitelli, Christof Stamm, J Scott Rankin, Steffen Pfeiffer, Theodor Fischlein, Jan Pirk, Yeong-Hoon Choi, Christian Detter, Johannes Kroll, Friedhelm Beyersdorf, Malakh Shrestha, Christian Schreiber, Rüdiger Lange
BACKGROUND: Refining leaflet reconstruction has become a primary issue in aortic valve repair. This descriptive analysis reviews leaflet pathology, repair techniques, and early results in a prospective regulatory trial of aortic valve repair. METHODS: Sixty-five patients underwent valve repair for predominant moderate to severe aortic insufficiency (AI). The mean age was 63 ± 13 years, and 69% of the patients were male. Ascending aortic/root replacement was required in 62%...
December 2014: Annals of Thoracic Surgery
Shigeyuki Ozaki, Isamu Kawase, Hiromasa Yamashita, Yukinari Nozawa, Mikio Takatoh, So Hagiwara, Nagaki Kiyohara
OBJECTIVE: We have performed an original aortic valve reconstruction using autologous pericardium. The feasibility for patients aged less than 60 years is reviewed. METHODS: From April 2007 to April 2013, aortic valve reconstruction was performed in 108 patients aged less than 60 years. A total of 51 patients had aortic stenosis, 7 patients had annuloaortic ectasia, 7 patients had infective endocarditis, and 43 patients had aortic regurgitation. Fifty-seven patients had bicuspid valves, and 11 patients had unicuspid valves...
September 2014: Journal of Thoracic and Cardiovascular Surgery
Gideon Praveen Kumar, Fangsen Cui, Hui Qun Phang, Boyang Su, Hwa Liang Leo, Jimmy Kim Fatt Hon
Percutaneous heart valve replacement is gaining popularity, as more positive reports of satisfactory early clinical experiences are published. However this technique is mostly used for the replacement of pulmonary and aortic valves and less often for the repair and replacement of atrioventricular valves mainly due to their anatomical complexity. While the challenges posed by the complexity of the mitral annulus anatomy cannot be mitigated, it is possible to design mitral stents that could offer good anchorage and support to the valve prosthesis...
July 2014: Medical Engineering & Physics
Clifton T P Lewis, Richard L Stephens, Charles M Tyndal, Jennifer L Cline
BACKGROUND: Robotic mitral valve repair has been successfully performed since the late 1990s, but concomitant robotic tricuspid repair has not yet been widely adopted. We report our first 5 years' experience with concomitant robotic mitral-tricuspid valve repair. METHODS: Records were reviewed for all patients who underwent concomitant robotic mitral-tricuspid valve repair in a single practice. Cardiopulmonary bypass was performed with femoral cannulation, antegrade and retrograde cardioplegia, and aortic cross-clamping by balloon occlusion...
March 2014: Annals of Thoracic Surgery
Gregory A Fishbein, Frederick J Schoen, Michael C Fishbein
Calcific aortic valve disease of the elderly is the most prevalent hemodynamically-significant valvular disease, and the most common lesion requiring valve replacement in industrialized countries. Transcatheter aortic valve implantation is a less invasive alternative to classical aortic valve replacement that can provide a therapeutic option for high-risk or inoperable patients with aortic stenosis. These devices must be biocompatible, have excellent hemodynamic performance, be easy to insert, be securely anchored without sutures, and be durable, without increased risk of thrombosis or infection...
March 2014: Cardiovascular Pathology: the Official Journal of the Society for Cardiovascular Pathology
Giovanni Concistrè, Giuseppe Santarpino, Steffen Pfeiffer, Pierandrea Farneti, Antonio Miceli, Francesca Chiaramonti, Marco Solinas, Mattia Glauber, Theodor Fischlein
OBJECTIVE: Important comorbid conditions in patients referred for aortic valve replacement (AVR) require less invasive strategies. We describe our initial experience with the Perceval S (Sorin Group, Saluggia, Italy) and 3f Enable (Medtronic, Minneapolis, MN USA) sutureless aortic bioprostheses. METHODS: We compared intraoperative data, postoperative clinical outcomes, and echocardiographic results from patients receiving a Perceval S (P group; n = 97) or a 3f Enable (E group; n = 32) prosthesis in two cardiac surgery departments (Nuremberg, Germany, and Massa, Italy)...
July 2013: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Daniyar Gilmanov, Antonio Miceli, Stefano Bevilacqua, Pierandrea Farneti, Marco Solinas, Matteo Ferrarini, Mattia Glauber
BACKGROUND: Many new, less invasive strategies are proposed for aortic valve operation in elderly patients. Rapid deployment sutureless aortic valve prosthesis has been recently introduced. We analyzed our experience with a sutureless valve implanted through a minimally invasive approach. METHODS: A retrospective observational study with prospectively registered data was conducted on 137 patients undergoing aortic valve replacement through a right anterior minithoracotomy...
December 2013: Annals of Thoracic Surgery
Giuseppe Santarpino, Steffen Pfeiffer, Joachim Sirch, Ferdinand Vogt, Giovanni Concistrè, Theodor Fischlein
AIM: Although minimally invasive aortic valve replacement (MIAVR) has been shown to cause less morbidity than conventional surgery, it has not yet received broad application. The purpose of this study was to evaluate sutureless implantation using the Perceval S aortic valve bioprosthesis (Sorin Group, Saluggia, Italy) via ministernotomy. METHODS: Seventy-two patients (43 women, 29 men; mean age 77.4 ± 5.3 years) with isolated aortic valve stenosis (mean gradient of 52 ± 14 mmHg) underwent aortic valve implantation with the sutureless Perceval S bioprosthesis, following cardiopulmonary bypass (CPB), aortic cross-clamping (ACC), cardioplegic arrest and removal of the calcified native valve...
March 2014: Journal of Cardiovascular Medicine
Hani K Najm, Munir Ahmad
No abstract text is available yet for this article.
January 2012: Journal of the Saudi Heart Association
Bibombe Patrice Mwipatayi, Roshan Nair, Jean-Louis Papineau, Vikram Vijayan
INTRODUCTION: Transcatheter aortic valve implantation (TAVI) represents an emerging therapy for valve replacement in patients not suitable for traditional open repair. As awareness of the procedure grows, case numbers are increasing worldwide. Though this procedure represents a less invasive approach to aortic valve replacement, it is not without complications. PRESENTATION OF CASE: This case presentation describes a serious, previously unreported, complication incurred in an 83-year-old male in whom TAVI was attempted...
2013: International Journal of Surgery Case Reports
B Zane Atkins, Zubair A Hashmi, Asvin M Ganapathi, J Kevin Harrison, G Chad Hughes, Joseph G Rogers, Carmelo A Milano
OBJECTIVES: New-onset aortic insufficiency (AI) can be encountered after instituting mechanical circulatory support and seems more common and severe with continuous flow (CF) left ventricular assist devices (LVADs) compared with pulsatile devices. Treatment algorithms for de novo, post-LVAD AI have not been well defined. In the present report, we have described 6 patients who underwent aortic valve surgery for new-onset post-LVAD AI. METHODS: From 2005 to 2011, 271 patients underwent LVAD implantation...
November 2013: Journal of Thoracic and Cardiovascular Surgery
Malakh Shrestha, Rebecca Timm, Klaus Höffler, Nurbol Koigeldiyev, Nawid Khaladj, Christian Hagl, Axel Haverich, Samir Sarikouch
BACKGROUND AND AIM OF THE STUDY: Although minimally invasive aortic valve replacement (AVR) has been proposed to cause less morbidity in patients, it still has not seen broad application. The study aim was to evaluate the implantation of the self-anchoring aortic valve (Perceval S; Sorin) via a mini-sternotomy. METHODS: As a part of a multicenter, European, prospective, non-randomized, clinical trial, 35 patients (30 females, five males; mean age 80 +/- 4 years) with isolated aortic valve stenosis (mean gradient 48 +/- 21 mm Hg) were operated on at the authors' center...
March 2013: Journal of Heart Valve Disease
J Ennker, A Albert, I C Ennker
The design of stentless valve prostheses is intended to achieve a more physiological flow pattern and superior hemodynamics in comparison to stented valves. First - generation stentless bioprosthesis were the Prima valve, the Freestyle valve and the Toronto stentless porcine valve. The second generation of stentless valves, as the Super stentless aortic porcine valve, need only one suture line. The Sorin Pericarbon Freedom and the Equine 3F heart Valve belong to the third generation of stentless valve pericardial bioprostheses...
2012: HSR Proceedings in Intensive Care & Cardiovascular Anesthesia
Stephen H McKellar, Salil Deo, Richard C Daly, Lucian A Durham, Lyle D Joyce, John M Stulak, Soon J Park
BACKGROUND: A competent aortic valve is essential to providing effective left ventricular assist device support. We have adopted a practice of central aortic valve closure by placing a simple coaptation stitch at left ventricular assist device implantation in patients with significant aortic insufficiency. We conducted a follow-up study to evaluate the efficacy and durability of this procedure. METHODS: The study included patients who had undergone continuous flow left ventricular assist device implantation...
January 2014: Journal of Thoracic and Cardiovascular Surgery
Shigeyuki Ozaki, Isamu Kawase, Hiromasa Yamashita, Shin Uchida, Yukinari Nozawa, Mikio Takatoh, So Hagiwara
OBJECTIVE: To determine the feasibility of original aortic valve reconstruction, 404 consecutive cases were reviewed. The early results are reported here. METHODS: Aortic valve reconstruction was performed for 404 patients from April 2007 through September 2011. The results for all 404 patients were reviewed retrospectively. There were 289 patients with aortic stenosis and 115 patients with aortic regurgitation. One hundred two patients had bicuspid aortic valves, 13 patients had unicuspid valves, and 2 patients had quadricuspid valves...
January 2014: Journal of Thoracic and Cardiovascular Surgery
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