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Single-Center Outcomes with Rapid Deployment Aortic Valve Replacement.

Markus Schlömicher1, Matthias Bechtel1, Dritan Useini1

  • 1Department of Cardiothoracic Surgery, Ruhr University Hospital Bergmannsheil, Bochum, Germany.

The Thoracic and Cardiovascular Surgeon
|July 17, 2020
PubMed
Summary

Rapid deployment aortic valve replacement (AVR) is safe and effective, showing low complication rates and good survival. This technique offers a valuable option for aortic valve surgery, potentially reducing procedure times.

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Area of Science:

  • Cardiovascular Surgery
  • Medical Devices
  • Surgical Outcomes

Background:

  • Rapid-deployment valves offer potential benefits in reducing procedural times and facilitating minimally invasive approaches.
  • Over 500 patients at our institution have undergone rapid deployment aortic valve replacement (AVR).

Purpose of the Study:

  • To evaluate the safety and efficacy of rapid deployment AVR in a large patient cohort.
  • To assess procedural times, survival rates, and complication rates associated with rapid deployment AVR.

Main Methods:

  • A retrospective analysis of 510 patients who underwent rapid deployment AVR between March 2012 and September 2017.
  • Patients were divided into isolated AVR and AVR with concomitant procedures groups.
  • Follow-up data was collected for a cumulative total of 1,444 patient-years.

Main Results:

  • Early all-cause mortality was 3.5%, with 12-month cumulative survival of 91.9%.
  • Mean cross-clamp times were 37 minutes for isolated AVR and 93 minutes for concomitant procedures.
  • The rate of new pacemaker implantation was 7.8%, with no structural degeneration and a 0.6% endocarditis rate.

Conclusions:

  • Rapid deployment AVR can be performed safely with low complication rates.
  • The procedure demonstrates good hemodynamic results, supporting its relevance in aortic valve surgery.
  • This technique presents a viable and safe option for patients requiring aortic valve replacement.