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10.1093/icvts/ivx384
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Título: | Perceval Less Invasive Aortic Replacement Register: multicentric Spanish experience with the Perceval S bioprosthesis in moderate–high-risk aortic surgery |
Fecha de publicación: | abr-2018 |
Cita bibliográfica: | Interactive CardioVascular and Thoracic Surgery, Volume 26, Issue 4, April 2018, Pages 596–601 |
ISSN: | 1569-9293 |
Palabras clave: | Aortic valve stenosis Moderate–high risk Sutureless Transcatheter aortic valve implantation |
Resumen: | 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 79.24 (standard deviation [SD] 4.1) years, and 61.2% were women. The estimated EuroSCORE I log risk was 11.15% (SD 7.6), with an observed mortality of 4.4% (20 patients). Isolated aortic valve replacement was performed on 69.26% of patients, with 64% involving ministernotomy. The incidence of neurological events was 2%, with 2 permanent cerebrovascular accidents, and 41 (9.2%) patients were implanted with a permanent endocavitary pacemaker. At discharge, 12 (2.6%) patients presented minimal periprosthetic leakage, and 4 (0.89%) patients had moderate leakage. There were 3 reinterventions during follow-up (2 endocarditis and 1 dysfunction due to periprosthetic leak progression). The mean gradient at discharge, 6 months and 1 year was 12.94 (SD 5.3) mmHg, 12.19 (SD 4.7) mmHg and 11.77 (SD 4.7) mmHg, respectively; 59.4% of the patients were octogenarians, with a survival rate of 98% at both 6 months and 1 year at discharge. There was neither valve migration nor early structural degeneration. The mean follow-up was 12 ± 3 months. The 6-month and 1-year mortality was 1.4% and 2.1%, respectively. CONCLUSIONS This is a prospective multicentric study on the largest cohort of patients with sutureless valves conducted in Spain to date. It is a reproducible procedure that has enabled surgery on patients with a moderate–high risk with low morbidity and mortality, providing good haemodynamic results. |
Autor/es principal/es: | Berastegui García, Elisabet Cámara Rosell, María Luisa Estevez Cid, Francisco Sánchez Domínguez, Eladio Rios Barrera, Remedios Sbraga, Fabrizio García Puente, Julio Rosello Díaz, Elena Cuerpo Caballero, Gregorio Pablo Bustamante Munguira, Juan Reyes Copa, Guillermo Tena Pajuelo, Marian Serrano Fiz, Santiago Buendía Miñano, José Alfonso García Martín, Iván Cuenca Castillo, Jose Cánovas López, Sergio González Pinto, Angel Ruyra Baliarda, Xavier |
URI: | http://hdl.handle.net/10201/143226 |
DOI: | 10.1093/icvts/ivx384 |
Tipo de documento: | info:eu-repo/semantics/article |
Número páginas / Extensión: | 6 |
Derechos: | info:eu-repo/semantics/openAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
Aparece en las colecciones: | Artículos: Cirugía, Pediatría y Obstetricia y Ginecología |
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