scholarly journals Rapid-deployment aortic valve replacement in high-risk patients: A case-control study

2021 ◽  
Vol 13 (1) ◽  
pp. 23-27
Author(s):  
Adama Sawadogo ◽  
An Vinh Bui-Duc ◽  
Nicolas D'Ostrevy ◽  
Lionel Camilleri ◽  
Kasra Azarnoush
Keyword(s):  
High Risk ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Case Control Study ◽  
Case Control ◽  
Study Group ◽  
High Risk Patients ◽  
Risk Patients ◽  
Rapid Deployment ◽  
Control Study

Introduction: Aortic valve stenosis is the most frequent cardiac valve pathology in the western world. In high-risk patients, conventional aortic valve replacement (C-AVR) carries high rates of morbidity and mortality. In the last few years, rapid-deployment valves (RDV) have been developed to reduce the surgical risks. In this work, we aimed to compare the mid-term outcomes of rapid-deployment AVR (RD-AVR) with those of the C-AVR in high-risk patients. Methods: This retrospective case-control study identified 23 high-risk patients who underwent RD-AVR between 12/2015 to 01/2018. The study group was compared with a control group of 46 patients who were retrospectively selected from a database of 687 C-AVR patients from 2016 to 2017 which matched with the study group for age and Euro SCORE II. Results: RD-AVR group presented more cardiovascular risk factors. Euro SCORE II was higher in the RD-AVR group (P=0.06). In the RD-AVR group, we observed significantly higher mean prosthetic size (P<0.001). In-hospital mortality was zero in RD-AVR group versus 2 deaths in C-AVR group. Hospital stay was longer in the RD-AVR group with statistical significance (P=0.03). In the group AVR with associated cardiac procedures, while comparing subgroups RD-AVR versus C-AVR, early mean gradient was lower in the first cited (P=0.02). The overall mean follow-up was 10.9 ± 4.3 months. Conclusion: The RD-AVR technique is reliable and lead to positive outcomes. This procedure provides a much larger size with certainly better flow through the aortic root. It is an alternative to C-AVR in patients recognized to be surgically fragile.

scholarly journals Operative outcome of patients at low, intermediate, high and ‘very high’ surgical risk undergoing isolated aortic valve replacement with sutureless and rapid deployment prostheses: results of the SURD-IR registry

2019 ◽  
Vol 56 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Giuseppe Santarpino ◽  
Paolo Berretta ◽  
Theodor Fischlein ◽  
Thierry P Carrel ◽  
Kevin Teoh ◽  
...  
Keyword(s):  
High Risk ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Valve Stenosis ◽  
High Risk Patients ◽  
Risk Patients ◽  
Rapid Deployment ◽  
Very High ◽  
Risk Categories

Abstract OBJECTIVES The ideal strategy for the treatment of severe aortic valve stenosis in patients of varying risk categories has become a debated topic in the last years: should the transcatheter or surgical approach be adopted? The aim of this study was to evaluate the outcomes of low-, intermediate-, high- and very high-risk patients undergoing sutureless, rapid deployment aortic valve replacement. METHODS From 2007 to 2017, data on a total of 3651 patients were collected from the Sutureless and Rapid Deployment Aortic Valve Replacement International Registry (SURD-IR). Of these, 2057 patients who underwent primary isolated aortic valve replacement were considered for this analysis and classified as being at low (EuroSCORE <5; n = 500), intermediate (EuroSCORE 5–10; n = 901), high (EuroSCORE 11–20; n = 500) and very high (EuroSCORE >20; n = 156) preoperative risk. RESULTS Overall, a less invasive approach was used in 74.1% of patients and represented the most frequent (>50%) approach in all risk categories. The Perceval prosthesis was used more frequently than other devices, especially in patients at high and very high risk. Hospital mortality was 1.6%, 0.8%, 1.9% and 2.7% in low-, intermediate-, high- and very high-risk patients, respectively, with no significant differences among subgroups. Similarly, postoperative complication rates were similar across the different risk categories. CONCLUSIONS Surgical aortic valve replacement using sutureless, rapid deployment biological valve prostheses is associated with excellent results and represents a safe and effective treatment option for patients with severe aortic valve stenosis. This seems to be particularly true in patients with a higher risk profile.

Rapid-deployment aortic valve replacement in high-risk patients with severe endocarditis

2021 ◽  
Vol 61 (6) ◽  
Author(s):  
Antonio Piperata ◽  
Gregory Kalscheuer ◽  
Alexandre Metras ◽  
Mathieu Pernot ◽  
Waleed Albadi ◽  
...  
Keyword(s):  
High Risk ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
High Risk Patients ◽  
Risk Patients ◽  
Rapid Deployment

Prophylactic Retention Sutures in Midline Laparotomy in High-Risk Patients for Wound Dehiscence: a Randomised Prospective Case Control Study

2017 ◽  
Vol 80 (6) ◽  
pp. 564-568
Author(s):  
Ajay Maganlal Rajyaguru ◽  
Milap Jignesh Shah ◽  
Bhavesh V. Vaishnani ◽  
Jignesh P. Dave ◽  
Jatin G. Bhatt
Keyword(s):  
High Risk ◽  
Case Control Study ◽  
Wound Dehiscence ◽  
Case Control ◽  
Midline Laparotomy ◽  
High Risk Patients ◽  
Risk Patients ◽  
Control Study ◽  
Prospective Case Control Study

scholarly journals Multicenter Case Control Study to Predict High Risk Patients for Incomplete Colonoscopies

2017 ◽  
Vol 47 ◽  
pp. S30
Author(s):  
K.S. Khan ◽  
A. Conner ◽  
S. Khan ◽  
H. Hamid ◽  
S. Denley ◽  
...  
Keyword(s):  
High Risk ◽  
Case Control Study ◽  
Case Control ◽  
High Risk Patients ◽  
Risk Patients ◽  
Control Study
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