Publication:
Mid-term outcomes of rapid deployment aortic prostheses in patients with small aortic annulus

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dc.contributor.authorArribas Leal, José M.
dc.contributor.authorRivera Caravaca, José Miguel
dc.contributor.authorAranda Domene, Ramón
dc.contributor.authorMoreno Moreno, José A.
dc.contributor.authorEspinosa García, Dolores
dc.contributor.authorJiménez Aceituna, Antonio
dc.contributor.authorPérez Andreu, Joaquín
dc.contributor.authorTaboada Martín, Rubén
dc.contributor.authorSaura Espín, Daniel R.
dc.contributor.authorCánovas López, Sergio
dc.contributor.departmentCirugía, Pediatría y Obstetricia y Ginecología
dc.date.accessioned2024-07-18T11:19:19Z
dc.date.available2024-07-18T11:19:19Z
dc.date.issued2021-06-28
dc.description©The Author(s) 2021. This document is the Published version of a Published Work that appeared in final form in Interactive Cardiovascular and Thoracic Surgery. To access the final edited and published work see https://doi.org/10.1093/icvts/ivab175
dc.description.abstractOBJECTIVES: The Edwards Intuity valve is a rapid deployment aortic prosthesis that favours less invasive approaches. However, evidence about the clinical behaviour of their smaller sizes is scarce. Herein, we studied haemodynamic behaviours and clinical outcomes of small Intuity prostheses (19–21 mm) in comparison to larger Intuity prostheses (>21 mm). METHODS: This is an observational study including patients implanted with an Edwards Intuity rapid deployment aortic prosthesis. Patients with prosthesis sizes 19–21 and >21 mm were included. Baseline and perioperative variables, as well as adverse events during the follow-up were recorded and compared between groups. RESULTS: A total of 122 patients (37% female, mean age 75 ± 4.5 years) were included, of whom 54 (45%) were implanted with a small prosthesis and 68 (55%) with a prosthesis >21 mm. There were no significant differences between patients with small Intuity prostheses and patients with larger prostheses regarding in-hospital mortality (2% vs 4%, P = 0.43) or mortality during the follow-up (3.41 vs 2.45 per 100 patients-years; P = 0.58). Survival in the small Intuity valve group was 95% at 1 year and 83% at 6 years, whereas in the larger Intuity valve group was 96% at 1 year and 78% at 6 years. The presence of a small prosthesis did not influence mid-term survival (log-rank P-value = 0.62). CONCLUSIONS: This study showed good clinical performance of Intuity aortic prostheses with appropriate mid-term survival in patients with the small aortic annulus. Thus, the Edwards Intuity rapid deployment aortic prosthesis may be considered as a potential option in patients with the small aortic annulus.es
dc.embargo.terms1-ene-2999
dc.formatapplication/pdfes
dc.format.extent7es
dc.identifier.citationInteractive Cardiovascular and Thoracic Surgery 33 (2021) 695–701
dc.identifier.doihttps://doi.org/10.1093/icvts/ivab175
dc.identifier.issnPrint: 1569-9293
dc.identifier.issnElectronic: 1569-9285
dc.identifier.urihttp://hdl.handle.net/10201/143203
dc.languageenges
dc.publisherOxford University Press
dc.relationSin financiación externa a la Universidades
dc.relation.publisherversionhttps://academic.oup.com/icvts/article/33/5/695/6310346?login=true
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectAortic stenosises
dc.subjectBiological prostheseses
dc.subjectRapid deployment aortic prostheseses
dc.subjectProsthesis–patient mismatches
dc.titleMid-term outcomes of rapid deployment aortic prostheses in patients with small aortic annuluses
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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