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Information Journal Paper

Title

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

Pages

  23-27

Abstract

 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 RDAVR 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.

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    APA: Copy

    Sawadogo, Adama, Bui Duc, An Vinh, Ostrevy, Nicolas D., Camilleri, Lionel, & Azarnoush, Kasra. (2021). Rapid-deployment aortic valve replacement in high-risk patients: A case-control study. JOURNAL OF CARDIOVASCULAR AND THORACIC RESEARCH, 13(1), 23-27. SID. https://sid.ir/paper/774501/en

    Vancouver: Copy

    Sawadogo Adama, Bui Duc An Vinh, Ostrevy Nicolas D., Camilleri Lionel, Azarnoush Kasra. Rapid-deployment aortic valve replacement in high-risk patients: A case-control study. JOURNAL OF CARDIOVASCULAR AND THORACIC RESEARCH[Internet]. 2021;13(1):23-27. Available from: https://sid.ir/paper/774501/en

    IEEE: Copy

    Adama Sawadogo, An Vinh Bui Duc, Nicolas D. Ostrevy, Lionel Camilleri, and Kasra Azarnoush, “Rapid-deployment aortic valve replacement in high-risk patients: A case-control study,” JOURNAL OF CARDIOVASCULAR AND THORACIC RESEARCH, vol. 13, no. 1, pp. 23–27, 2021, [Online]. Available: https://sid.ir/paper/774501/en

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