Essential information on surgical heart valve characteristics for optimal valve prosthesis selection: expert

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Andras P Durko1, Philippe Pibarot2, Pavan Atluri3

  • 1Department of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, Netherlands.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|October 6, 2020
PubMed

Insights

Standardized Valve Charts are recommended to improve surgical heart valve (SHV) selection and assessment. These charts will provide uniform data on SHV dimensions, implant position, and performance, aiding clinicians and reducing mismatch.

Area of Science:

  • Cardiovascular Surgery
  • Biomedical Engineering
  • Regulatory Science

Background:

  • Optimal selection and assessment of surgical heart valves (SHVs) require comprehensive, uniform data.
  • Current SHV sizing and labeling present challenges for consistent information retrieval.
  • A joint Task Force was established by EACTS, STS, and AATS to address these issues.

Purpose of the Study:

  • To develop recommendations for transparent and uniform presentation of SHV characteristics.
  • To advocate for standardized Valve Charts for SHV selection and prosthesis-patient mismatch assessment.
  • To ensure clinicians have adequate information for informed SHV choice.

Main Methods:

  • Expert consensus development by a multidisciplinary Task Force.
  • Review of existing challenges in SHV sizing and labeling.
  • Formulation of recommendations for data presentation and assessment tools.

Main Results:

  • Recommendations for uniform reporting of SHV physical dimensions, intended implant position, and hemodynamic performance.
  • Advocacy for a standardized chart to assess prosthesis-patient mismatch probability.
  • Call for valve manufacturers to adopt standardized Valve Charts.

Conclusions:

  • Standardized Valve Charts are crucial for improving SHV selection and patient outcomes.
  • Uniform data presentation will enhance clinical decision-making and reduce prosthesis-patient mismatch.
  • Collaboration between professional societies and manufacturers is key to implementing these standards.

Keywords:
LabelingPHVProsthesis-patient mismatch; PPMProsthetic heart valveRegulationlSO

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