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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
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Best Practices of Aortic Valve Replacement With the Edwards Intuity Elite Valve
S Chris Malaisrie1, Mubashir A Mumtaz2, Paul L DiGiorgi3
1Division of Cardiac Surgery, Northwestern University, Northwestern Medicine, Chicago, Illinois.
The Annals of Thoracic Surgery
|December 11, 2019
Summary
This report details best practices for using the Edwards Intuity Elite (EIE) valve system, a surgical aortic valve designed for faster implantation and minimally invasive procedures. Adhering to these techniques can streamline EIE valve use for surgeons.
Area of Science:
- Cardiovascular Surgery
- Medical Devices
- Surgical Innovation
Background:
- The Edwards Intuity Elite (EIE) valve system is a novel surgical aortic valve.
- It is designed for expedited implantation and minimally invasive approaches.
- The EIE valve system aims to provide low gradients, especially in smaller valve sizes.
Purpose of the Study:
- To review best practices for the Edwards Intuity Elite valve system.
- To share experiences and learned techniques for optimal EIE valve implantation.
- To guide surgeons in adopting and effectively using the EIE valve system.
Main Methods:
- The report focuses on practical aspects and learned techniques from EIE valve system use.
- It highlights differences from conventional sutured valves, emphasizing the EIE's sealing frame.
- Key technical elements and considerations are discussed.
Main Results:
- Critical technical aspects identified include patient selection, aortotomy, debridement, valve sizing, suture technique, and deployment.
- Consideration of special anatomic/pathologic conditions and intraoperative monitoring are included.
- The EIE valve's unique sealing frame for anchoring and sealing is a key feature.
Conclusions:
- Established best practices simplify and standardize the use of the EIE valve system.
- These practices can benefit surgeons adopting the EIE valve.
- Experience-based insights aim to improve outcomes with this surgical aortic valve.
