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Comparison of aortic gradient and ventricular mass after valve replacement for aortic stenosis with rapid deployment, sutureless, and conventional bioprostheses

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dc.contributor.authorTaboada Martín, Rubén
dc.contributor.authorArribas Leal, José María
dc.contributor.authorEsteve Pastor, María Asunción
dc.contributor.authorAbellán Alemán, José
dc.contributor.authorMarín, Francisco
dc.contributor.authorRivera Caravaca, José Miguel
dc.contributor.authorCánovas López, Sergio
dc.contributor.departmentCirugía, Pediatría y Obstetricia y Ginecología
dc.date.accessioned2024-07-18T11:16:11Z
dc.date.available2024-07-18T11:16:11Z
dc.date.issued2021-06-11
dc.description© 2021 S. Karger AG, Basel. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. This document is the Accepted version of a Published Work that appeared in final form in Revista Española de Cardiologia. To access the final edited and published work see https://doi.org/10.1159/000516465
dc.description.abstractBackground: The use of rapid deployment and sutureless aortic prostheses is increasing. Previous reports have shown promising results on haemodynamic performance and mortality rates. However, the impact of these bioprostheses on left ventricular mass (LVM) regression remains unknown. We decided to study the changes in remodelling and LVM regression in isolated severe aortic stenosis treated with conventional or Perceval® or Intuity® valves. Method and Results: From January 2011 to January 2016, 324 bioprostheses were implanted in our centre. The collected characteristics were divided into 3 groups: conventional valves, Perceval®, and Intuity®, and they were analysed after 12 months. There were 183 conventional valves (56%), 72 Perceval® (22%), and 69 Intuity® (21.2%). The statistical analysis showed significant differences in transprosthetic postoperative peak gradient (23 [18–29] mm Hg vs. 21 [16–29] mm Hg and 18 [14–24] mm Hg, p < 0.001), ventricular mass electrical criteria regression (Sokolow and Cornell products), and 1-year survival (90 vs. 93% and 97%, log rank p value = 0.04) in conventional, Perceval®, and Intuity® groups. Conclusions: We observed differences in haemodynamic, electrocardiographic, and echocardiographic parameters related to the different types of prosthesis. Patients with the Intuity® prosthesis had the highest reduction in peak aortic gradient and the higher ventricular mass regression. Besides, patients with the Intuity® prosthesis had less risk of mortality during follow-up than the other two groups. Further studies are needed to confirm these findings.es
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dc.format.extent11es
dc.identifier.citationRevista Española de Cardiología (2021) 146 (5): 656–666.
dc.identifier.doihttps://doi.org/10.1159/000516465
dc.identifier.issnPrint: 0300-8932
dc.identifier.issnElectronic: 1579-2242
dc.identifier.urihttp://hdl.handle.net/10201/143220
dc.languageenges
dc.publisherSociedad Española de Cardiología
dc.relationSin financiación externa a la Universidades
dc.relation.publisherversionhttps://karger.com/crd/article-abstract/146/5/656/820798/Comparison-of-Aortic-Gradient-and-Ventricular-Mass?redirectedFrom=fulltext
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAortic stenosises
dc.subjectSutureless aortic prostheseses
dc.subjectAortic valve surgeryes
dc.subjectLeft ventricular mass regressiones
dc.titleComparison of aortic gradient and ventricular mass after valve replacement for aortic stenosis with rapid deployment, sutureless, and conventional bioprostheseses
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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