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10.1093/icvts/ivx384
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Campo DC | Valor | Lengua/Idioma |
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dc.contributor.author | Berastegui García, Elisabet | - |
dc.contributor.author | Cámara Rosell, María Luisa | - |
dc.contributor.author | Estevez Cid, Francisco | - |
dc.contributor.author | Sánchez Domínguez, Eladio | - |
dc.contributor.author | Rios Barrera, Remedios | - |
dc.contributor.author | Sbraga, Fabrizio | - |
dc.contributor.author | García Puente, Julio | - |
dc.contributor.author | Rosello Díaz, Elena | - |
dc.contributor.author | Cuerpo Caballero, Gregorio Pablo | - |
dc.contributor.author | Bustamante Munguira, Juan | - |
dc.contributor.author | Reyes Copa, Guillermo | - |
dc.contributor.author | Tena Pajuelo, Marian | - |
dc.contributor.author | Serrano Fiz, Santiago | - |
dc.contributor.author | Buendía Miñano, José Alfonso | - |
dc.contributor.author | García Martín, Iván | - |
dc.contributor.author | Cuenca Castillo, Jose | - |
dc.contributor.author | Cánovas López, Sergio | - |
dc.contributor.author | González Pinto, Angel | - |
dc.contributor.author | Ruyra Baliarda, Xavier | - |
dc.date.accessioned | 2024-07-18T11:41:42Z | - |
dc.date.available | 2024-07-18T11:41:42Z | - |
dc.date.issued | 2018-04 | - |
dc.identifier.citation | Interactive CardioVascular and Thoracic Surgery, Volume 26, Issue 4, April 2018, Pages 596–601 | es |
dc.identifier.issn | 1569-9293 | - |
dc.identifier.uri | http://hdl.handle.net/10201/143226 | - |
dc.description.abstract | 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. | es |
dc.format | application/pdf | es |
dc.format.extent | 6 | es |
dc.language | eng | es |
dc.relation | Sin financiación externa a la Universidad | es |
dc.rights | info:eu-repo/semantics/openAccess | es |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Aortic valve stenosis | es |
dc.subject | Moderate–high risk | es |
dc.subject | Sutureless | es |
dc.subject | Transcatheter aortic valve implantation | es |
dc.title | Perceval Less Invasive Aortic Replacement Register: multicentric Spanish experience with the Perceval S bioprosthesis in moderate–high-risk aortic surgery | es |
dc.type | info:eu-repo/semantics/article | es |
dc.identifier.doi | 10.1093/icvts/ivx384 | - |
Aparece en las colecciones: | Artículos: Cirugía, Pediatría y Obstetricia y Ginecología |
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