Heart Valve Replacement with the St. Jude Medical® Valve Prosthesis: Long-Term Experience in 743 Patients Receiving Valve Implants in Switzerland

1989 ◽  
pp. 323-324 ◽  
Author(s):  
D. Burckhardt ◽  
D. Striebel ◽  
S. Vogt ◽  
A. Hoffmann ◽  
J. Roth ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Heart Valve ◽  
Heart Valve Replacement ◽  
Valve Prosthesis ◽  
Jude Medical ◽  
Long Term Experience

Long-term anticoagulation self-testing after mechanical heart valve replacement

2007 ◽  
Vol 55 (S 1) ◽  
Author(s):  
H Mair ◽  
B Reichart ◽  
I Kaczmarek ◽  
G Juchem ◽  
P Überfuhr ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Heart Valve ◽  
Mechanical Heart Valve ◽  
Heart Valve Replacement ◽  
Self Testing

Heart Valve Replacement with the St. Jude Medical Prosthesis — First Clinical Results —

1979 ◽  
Vol 27 (03) ◽  
pp. 187-189 ◽  
Author(s):  
F. Hehrlein ◽  
M. Gottwik ◽  
M. Schlepper ◽  
G. Fraedrich
Keyword(s):  
Valve Replacement ◽  
Heart Valve ◽  
Clinical Results ◽  
Heart Valve Replacement ◽  
Jude Medical

scholarly journals New warfarin anticoagulation management model after heart valve surgery: rationale and design of a prospective, multicentre, randomised trial to compare an internet-based warfarin anticoagulation management model with the traditional warfarin management model

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032949 ◽  
Author(s):  
Zhihui Zhu ◽  
Yuehuan Li ◽  
Xu Meng ◽  
Jie Han ◽  
Yan Li ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Heart Valve ◽  
Anticoagulation Therapy ◽  
Internet Technology ◽  
Heart Valve Replacement ◽  
Management Model ◽  
The Internet ◽  
Anticoagulation Management

IntroductionWarfarin is an effective anticoagulant and the only oral anticoagulant available for patients with mechanical heart valves. The prothrombin time and the associated international normalised ratio (INR) are routinely tested to monitor the response to anticoagulation therapy in patients. Patients who undergo mechanical heart valve replacement need lifelong anticoagulation therapy, and their INR is regularly measured to adjust the anticoagulation strength and the dose of anticoagulation drugs. Appropriate warfarin anticoagulation management can reduce patient complications, such as bleeding and thrombosis, and improve the long-term survival rate. We propose modern internet technology as a platform to build a warfarin anticoagulation follow-up system after valve replacement surgery. This system will provide doctors and patients with more standardised and safer follow-up methods as well as a method to further reduce the risk of warfarin anticoagulation-related complications and improve its therapeutic effects.Methods and analysisA prospective, multicentre, randomised, controlled trial will be conducted. A total of 700 patients who require long-term warfarin anticoagulation monitoring after heart valve replacement will be enrolled and randomly divided at a 1:1 ratio into a traditional outpatient anticoagulation management group and a group undergoing a new method of management based on the internet technology with follow-up for 1 year. Differences in the percentage of time in the therapeutic range (TTR), drug dose adjustments, bleeding/thrombosis and other related complications will be observed. The primary endpoint is the difference in the TTR between the two groups. The purpose of this study is to explore a safer and more effective mode of doctor–patient interaction and communication in the internet era. As of 13 July 2019, 534 patients had been enrolled.Ethics and disseminationThis study protocol was approved by the Ethics Committee of Beijing Anzhen Hospital, Capital Medical University. The results will be published in a peer-reviewed medical journal.Trial registration numberChiCTR1800016204.

scholarly journals 1143-140 Reoperative valve replacement with the St. Jude medical valve prosthesis: Long-term follow-up

2004 ◽  
Vol 43 (5) ◽  
pp. A438 ◽  
Author(s):  
Robert W Emery ◽  
Kit V Arom ◽  
Christopher Krogh ◽  
Lyle D Joyce ◽  
Demetre Nicoloff
Keyword(s):  
Valve Replacement ◽  
Valve Prosthesis ◽  
Jude Medical ◽  
Long Term Follow Up

scholarly journals Retrospective investigation of anticoagulant complications in long term after mechanical heart valve replacement surgery in Turkey

2020 ◽  
Keyword(s):  
Emergency Department ◽  
Valve Replacement ◽  
Heart Valve ◽  
Mechanical Heart Valve ◽  
Heart Valve Replacement ◽  
Factors Affecting ◽  
Replacement Surgery ◽  
The Mean ◽  
Valve Replacement Surgery

Background: Patients with mechanical heart valve replacement surgery (MHVRS) should be followed up in terms of prosthetic valve-related and open heart surgery complications. This study aimed to determine the anticoagulant complications in long term in patients with MHVRS. Methods: This retrospective and descriptive study was conducted in a university hospital, İzmir, Turkey. The data were collected from July to December 2019. In total, 73 patients referring for regular check-ups to the hospital with intervals not exceeded more than 90 days, and those who had international normalized ratio (INR) measurements for January-April-July-October 2018 were included in this study. Results: The mean age of the patients was obtained at 58.98±12.89 years, and 53.4% (n=39) of the cases were male. Moreover, the mean follow-up period was estimated at 65.98±28.47 months. According to the results, complications developed in 60 patients (82.2%). The first hospitalized unit was the emergency department. The factors affecting the development of complications after MHVRS were evaluated, and a difference was found regarding gender (X2=6.18, P=0.013), comorbidities (X2=25.58, P=0.018), and monthly referral for regular check-ups to the hospital (X2=5.20, P=0.023). There was no relationship between the INR levels and the development of complications. Furthermore, the results of evaluating the factors affecting the number of hospitalizations after MHVRS revealed that monthly referral to hospital for check-ups (t=3.18, P=0.002) and history of previous valve surgery (Z=201.00, P=0.03) affected the number of hospitalizations. Conclusions: It was observed that patients frequently refer to the emergency department and struggled with various complications. Moreover, it was found that the patients had frequent bleeding and refer to the emergency service repeatedly. Accordingly, there is a need for interventional studies to reduce postoperative complications and provide the therapeutic INR level.

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