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

Andras P Durko1, Philippe Pibarot2, Pavan Atluri3

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

The Journal of Thoracic and Cardiovascular Surgery
|October 19, 2020
PubMed

Insights

Standardized Valve Charts are recommended to improve surgical heart valve (SHV) selection and performance assessment. This aims to ensure clinicians have uniform, transparent information for better patient outcomes.

Area of Science:

  • Cardiovascular Surgery
  • Biomedical Engineering
  • Regulatory Science

Background:

  • Optimal selection and assessment of surgical heart valves (SHVs) require comprehensive characteristic information.
  • Current SHV sizing and labeling present challenges in obtaining uniform data across different models.
  • Existing regulatory frameworks do not fully address the need for standardized SHV information.

Purpose of the Study:

  • To formulate recommendations for transparent and uniform reporting of SHV physical dimensions, implant position, and hemodynamic performance.
  • To advocate for a standardized chart to assess prosthesis-patient mismatch probability.
  • To call upon valve manufacturers to provide essential SHV selection information on standardized Valve Charts.

Main Methods:

  • Formation of a multidisciplinary Task Force by EACTS, STS, and AATS, including surgeons, cardiologists, engineers, and manufacturers.
  • Review of existing challenges in SHV sizing and labeling.
  • Development of recommendations for standardized information dissemination.

Main Results:

  • Identification of key problems in SHV sizing and labeling.
  • Formulation of recommendations for uniform SHV data presentation.
  • Advocacy for standardized Valve Charts and prosthesis-patient mismatch assessment tools.

Conclusions:

  • Standardized Valve Charts are crucial for informed SHV selection and improved clinical decision-making.
  • Transparent and uniform information on SHV characteristics can enhance post-replacement function assessment.
  • Collaboration between professional societies, manufacturers, and regulatory bodies is essential for implementing these standards.

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