Effect of bioprostheses anti-calcification treatment: comparative follow-up between Mitroflow LX and Magna pericardial xenografts using a propensity score-weighted analysis.

Abstract:

Objectives:The efficacy of anti-calcification treatment of bioprosthetic heart valves remains unclear. The aim of this study was to compare the clinical outcomes between Mitroflow LX valve, without anti-calcification treatment, and the Carpentier-Edwards Perimount Magna (P-Magna), with anti-calcification treatment. Methods:Between 2005 and 2012, 625 consecutive patients underwent aortic valve replacement either with a Mitroflow LX ( n  = 329) or a P-Magna ( n  = 296). Variables regarding patient-related risk factors and operative data were accounted for an inverse probability of treatment weighting analysis. Then, adjusted survival outcomes and the rate of structural valve disease (SVD) were assessed for each group. Results:Mean follow-up times were 4.1 ± 2.29 years and 3.9 ± 2.63 years, respectively ( P  = 0.34). Adjusted overall survival rate was higher in the P-Magna group than in the Mitroflow LX group at 8 years (69.1% vs 51.9%, respectively) [HR = 1.44, 95% CI: 1.01 to 2.06; P  = 0.0467]. Similarly, the 8-year cardiac-related survival rate was also higher in the P-Magna group [HR = 1.99, 95% CI: 1.19 to 3.32; P  = 0.0083]. One patient (0.8%) with P-Magna and 23 patients (18.5%) with Mitroflow LX group developed SVD (0.24% per patient-year vs 4.5% per patient-year, respectively; P  < 0.001). At 5 and 8 years, valve-related survival rates did not differ significantly between both groups [HR = 1.67, 95% CI: 0.95 to 2.95; P  = 0.075]. Conclusions:The P-Magna prosthesis showed significantly better overall and cardiac-related survival than the Mitroflow LX. The higher early SVD and reoperation rates seen with the Mitroflow LX prosthesis did not impact negatively on valve-related survival.

authors

Blasco-Lucas A,Permanyer E,Pérez ML,Gracia-Baena JM,Ríos R,Casós K,Galiñanes M

doi

10.1093/icvts/ivw378

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

335-341

issue

3

eissn

1569-9293

issn

1569-9285

pii

ivw378

journal_volume

24

pub_type

杂志文章
  • Endovascular stent grafting of a complicated type B aortic dissection with approach through the innominate artery using a side-branch graft.

    abstract::Endovascular stent grafting has emerged as an effective method for the treatment of complicated acute type B aortic dissections. In cases where access to the aorta cannot be established through the ileofemoral trunks, the axillary arteries are used as an alternative route. Often, however, these arteries are too small ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2011.268748

    authors: Calcaterra D,Hashimi S,Brown TC,Sharma K

    更新日期:2011-08-01 00:00:00

  • Huge thymoma: role of preoperative WHO histological classification.

    abstract::A 57-year-old woman was admitted to our hospital with complaints of recent onset of dyspnea on exertion. A chest computed tomography revealed a large mediastinal mass which extrinsically compressed the heart and mediastinal structures, occupying one half of the hemithorax. A needle biopsy was performed to find a thymo...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.177162

    authors: Takeda S,Koma M,Maeda H

    更新日期:2008-12-01 00:00:00

  • Extracorporeal membrane oxygenation as a bridge to lung transplantation: what lessons might we learn from volume and expertise?

    abstract:OBJECTIVES:We sought to evaluate the effect of centre volume on survival when extracorporeal membrane oxygenation (ECMO) is used as a bridge to lung transplantation (LTx). METHODS:We performed a retrospective analysis of the United Network for Organ Sharing data on adult lung transplantations performed between 2000 an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv379

    authors: Hayanga JW,Lira A,Aboagye JK,Hayanga HK,D'Cunha J

    更新日期:2016-04-01 00:00:00

  • Chest wall reconstruction with MatrixRib system: avoiding pitfalls.

    abstract::Reconstructions of the chest wall using commercially available artificial metallic rib systems are gaining in popularity. The MatrixRib system involves use of plates and screws to bridge any defect and provide support for the chest wall following resection. So far, there has been no publication focusing on describing ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt515

    authors: Ng CS,Ho AM,Lau RW,Wong RH

    更新日期:2014-03-01 00:00:00

  • Entrapped central venous catheter after mitral valve replacement and its surgical retrieval.

    abstract::Central venous pressure monitoring line insertion is routine prior to the conduct of cardiac surgery, and in rare instances, malposition can contribute to operative complications. We describe here how a central venous line lying in the right atrium became caught in a left atrial (LA) closure suture during a mitral val...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs245

    authors: Nair HC,Banakal S,Parachuri VR,Shetty DP

    更新日期:2012-09-01 00:00:00

  • Repair of paravalvular prosthetic mitral valve leaks with septal occluder devices in severely high-risk patients: a word of caution.

    abstract::Paravalvular leak following a mitral valve replacement is a complication seen in approximately 1 of 10 replacements. The corrective method has traditionally been reoperation. Septal occluder devices are more commonly being utilized as an alternative percutaneous correction method. We report the use of septal occluder ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs210

    authors: Smith CR,Stamou SC,Merhi WM,Hooker RL

    更新日期:2012-09-01 00:00:00

  • Are valve repairs associated with better outcomes than replacements in patients with native active valve endocarditis?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether valve replacement was associated with higher morbidity and mortality rates than valve repair in patients with native active valve endocarditis. Altogether 662 papers were found using the reported...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivu296

    authors: Zhao D,Zhang B

    更新日期:2014-12-01 00:00:00

  • Radical surgery for malignant pleural mesothelioma: results and prognosis.

    abstract::The role of surgical treatment for malignant pleural mesothelioma (MPM) continues to be controversial. We carried out a retrospective review of the prognosis in patients who had radical surgery for MPM. Of 87 consecutive patients on whom surgical exploration for biopsy-proven MPM was performed, 31 patients underwent e...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.166322

    authors: Okada M,Mimura T,Ohbayashi C,Sakuma T,Soejima T,Tsubota N

    更新日期:2008-02-01 00:00:00

  • Is there a role for gabapentin in preventing or treating pain following thoracic surgery?

    abstract::A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was whether gabapentin, a commonly prescribed neuropathic analgesic and anticonvulsant, is safe and beneficial in patients with post-thoracotomy pain following thoracic surgery. Seventeen papers were ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt301

    authors: Zakkar M,Frazer S,Hunt I

    更新日期:2013-10-01 00:00:00

  • Pectus excavatum in relief from Ancient Egypt (dating back to circa 2400 BC).

    abstract::Pectus excavatum is one of the most common congenital deformities of the chest wall. The aim of the study was to analyse 621 artefacts (reliefs, sculptures, paintings) from Ancient Egypt in terms of anatomical defects of the chest. The team which analysed artefacts consisted of historians of medicine and thoracic surg...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 历史文章,杂志文章

    doi:10.1093/icvts/ivu440

    authors: Bialas AJ,Kaczmarski J,Kozak J,Kempinska-Miroslawska B

    更新日期:2015-04-01 00:00:00

  • Surgery for mediastinal neurogenic tumours: a 25-year single-centre retrospective study.

    abstract:OBJECTIVES:Mediastinal neurogenic tumours are uncommon and often benign neoplasms mostly located in the posterior mediastinum and usually diagnosed incidentally. We reviewed our results after surgical resection. We compared patient characteristics and tumour nature between children and adults. Differences between thora...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivab002

    authors: Lacquet M,Moons J,Ceulemans LJ,De Leyn P,Van Raemdonck D

    更新日期:2021-02-01 00:00:00

  • High aortic pulse wave velocity is associated with poor quality of life in surgical aortic valve stenosis patients.

    abstract:OBJECTIVES:Aortic stiffness is an emerging risk factor for cardiovascular disease. The predictive value of aortic pulse wave velocity (PWV) for quality of life (QoL) and severity of surgical aortic valve stenosis (AS) have not been examined. METHODS:PWV was measured in patients undergoing aortic valve replacement (AVR...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu156

    authors: Kidher E,Harling L,Nihoyannopoulos P,Shenker N,Ashrafian H,Francis DP,Mayet J,Athanasiou T

    更新日期:2014-08-01 00:00:00

  • Is microwave ablation an alternative to stereotactic ablative body radiotherapy in patients with inoperable early-stage primary lung cancer?

    abstract::A best evidence topic was written according to a structured protocol. The question addressed was: in patients with inoperable early-stage primary lung cancer does microwave ablation (MWA) or stereotactic ablative body radiotherapy (SBRT) achieve improved outcomes in terms of local control, recurrence, survival and com...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivz123

    authors: Watson RA,Tol I,Gunawardana S,Tsakok MT

    更新日期:2019-10-01 00:00:00

  • Acute and chronic response of the right ventricle to surgically induced pressure and volume overload--an analysis of pressure-volume relations.

    abstract::We aimed to determine the response of the right ventricle (RV) to surgically induced pressure and volume overload in both acute and chronic settings. Four-month-old sheep were operated via left anterior thoracotomy. Pressure overload of the RV was established by banding of the pulmonary trunk. Volume overload was indu...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.221234

    authors: Yerebakan C,Klopsch C,Niefeldt S,Zeisig V,Vollmar B,Liebold A,Sandica E,Steinhoff G

    更新日期:2010-04-01 00:00:00

  • Effect of negative pressure wound therapy followed by tissue flaps for deep sternal wound infection after cardiovascular surgery: propensity score matching analysis.

    abstract:OBJECTIVES:Deep sternal wound infection (DSWI) after cardiovascular surgery via median sternotomy remains a severe complication associated with a drastic decrease in the quality of life. We assessed the risk factors for in-hospital death caused by DSWI and the available treatments for DSWI. METHODS:Between January 199...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw141

    authors: Morisaki A,Hosono M,Murakami T,Sakaguchi M,Suehiro Y,Nishimura S,Sakon Y,Yasumizu D,Kawase T,Shibata T

    更新日期:2016-09-01 00:00:00

  • Aortic valve construction using pericardial tissue: short-term single-centre outcomes.

    abstract:OBJECTIVES:Aortic valve construction using pericardial tissue has been known since the late 1960s. The procedure was re-introduced by Ozaki in 2010 and is currently used to treat specific aortic valve diseases. The exact sizing of the neo-cusps and the insertion of the commissures remain the keys to success when perfor...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy230

    authors: Mourad F,Shehada SE,Lubarski J,Serrano M,Demircioglu E,Wendt D,Jakob H,Benedik J

    更新日期:2019-02-01 00:00:00

  • Digital versus analogue pleural drainage phase 1: prospective evaluation of interobserver reliability in the assessment of pulmonary air leaks.

    abstract:OBJECTIVES:The ability to accurately characterize a pulmonary air leak is an essential skill in chest medicine and surgery. The objective was to evaluate interobserver variability in air leak assessments using analogue and digital pleural drainage systems. METHODS:Air leak severity in lung resection patients with a pu...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv128

    authors: McGuire AL,Petrcich W,Maziak DE,Shamji FM,Sundaresan SR,Seely AJ,Gilbert S

    更新日期:2015-10-01 00:00:00

  • Giant venous aneurysm jeopardising internal mammary arterial graft patency.

    abstract::The authors report a 79-year old man with a history of coronary bypass surgery, presenting with acute heart failure and elevated troponin. Coronarography revealed a giant saphenous vein graft aneurysm, which was compressing the left internal mammary artery bypass graft. This was confirmed by a multislice enhanced-ECG ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs257

    authors: Van Caenegem O,le Polain de Waroux JB,de Kerchove L,Coche E

    更新日期:2012-09-01 00:00:00

  • Removal of an external stent of the bronchus.

    abstract::We report a case of a patient who underwent removal of an external stent of the bronchus. She had undergone external stenting for tracheobronchomalacia. After removal of the external stent, the bronchus was just as widely patent as preoperative state. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.217372

    authors: Nakamura Y,Aoki M,Nagase Y,Fujiwara T

    更新日期:2010-03-01 00:00:00

  • Should surgical pleurectomy for spontaneous pneumothorax be always thoracoscopic?

    abstract::Fifty-seven patients were studied over a period of three years to analyse the efficacy of surgical pleurectomy for spontaneous pneumothorax. Thirty-one and 26 patients underwent open and video-assisted thoracoscopic surgery (VATS) pleurectomy, respectively. VATS was the main modality used for primary spontaneous pneum...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.174755

    authors: Qureshi R,Nugent A,Hayat J,Qureshi M,Norton R

    更新日期:2008-08-01 00:00:00

  • The role of contrast enhanced three-dimensional MR angiography in pulmonary sequestration.

    abstract::Pulmonary sequestration is a relatively rare but clinically significant form of congenital broncho-pulmonary foregut malformation. It is characterized by a segment of non-functioning lung parenchyma that receives its blood supply from anomalous systemic arteries. This report shows the role of contrast enhanced three-d...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00118-X

    authors: Sancak T,Cangir AK,Atasoy C,Ozdemir N

    更新日期:2003-12-01 00:00:00

  • Inflammatory myofibroblastic tumour at the pacemaker site.

    abstract::Inflammatory myofibroblastic tumour (IMT) or inflammatory pseudotumour is a histologically distinctive lesion occurring primarily in the viscera and soft tissue of children and young adults. We report an unusual case of IMT which had undergone malignant transformation in the chest wall at the pacemaker site. A 64-year...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.221945

    authors: Rathinam S,Kuntz H,Panting J,Kalkat MS

    更新日期:2010-03-01 00:00:00

  • Impact of ductal stenting on pulmonary artery reconstruction in patients with duct-dependent congenital heart diseases-an institutional experience.

    abstract:OBJECTIVES:This study aims to review our institutional experience of ductal stenting (DS) on the growth of pulmonary arteries (PAs) and surgical outcomes of PA reconstruction in this subset of patients. METHODS:This is a retrospective study done in neonates and infants up to 3 months of age with duct-dependent pulmona...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa069

    authors: Haranal M,Mood MC,Leong MC,Febrianti Z,Abdul Latiff H,Samion H,Alwi M,Sivalingam S

    更新日期:2020-08-01 00:00:00

  • Recurrent dedifferentiated liposarcoma of mediastinum involving lung and pleura.

    abstract::We report a case of primary recurrent mediastinal dedifferentiated liposarcoma with unusual long-term survival. A woman who complained of dyspnea showed on imaging features a bulky posterior mediastinal mass which was completely excised and initially misdiagnosed as an angiomyolipoma. She recurred 15 months later and ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.209494

    authors: Coulibaly B,Bouvier C,Payan MJ,Thomas P

    更新日期:2009-10-01 00:00:00

  • Acceptance and introduction of disruptive technologies - simple steps to build a fully functional pulmonary valved stent.

    abstract::Valved stents are new land for cardiac surgeons even though they are being used more frequently by interventional disciplines. This paper presents simple steps to build a patient-specific pulmonary valved stent and its delivery device. The design concept was tested by random participants at a med-tech meeting. The val...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.153494

    authors: Huber CH,Marty B,von Segesser LK

    更新日期:2007-08-01 00:00:00

  • Long-term outcomes after transcatheter aortic valve implantation: the impact of intraoperative tissue Doppler echocardiography.

    abstract:OBJECTIVES:Transcatheter aortic valve implantation improves survival in patients with severe aortic stenosis who are ineligible for surgical valve replacement; however, not all patients benefit from the procedure. We endeavoured to identify these patients using intraoperative echocardiography and hypothesized that intr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw159

    authors: Eidet J,Dahle G,Bugge JF,Bendz B,Rein KA,Aaberge L,Offstad JT,Fosse E,Aakhus S,Halvorsen PS

    更新日期:2016-09-01 00:00:00

  • Wall stress correlates with intimal entry tear localization in Type A aortic dissection.

    abstract:OBJECTIVES:The risk of aortic dissection should be assessed based not only on the aortic diameter, but also on other biomechanical parameters that have an impact on the stress in the aortic wall. This study evaluates very rare clinical scenarios of patients with both pre- and post-dissection computed tomography (CT) im...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivy158

    authors: Plonek T,Zak M,Rylski B,Berezowski M,Czerny M,Beyersdorf F,Jasinski M,Filipiak J

    更新日期:2018-12-01 00:00:00

  • Thimble type knot pusher: bioprosthesis stents no longer interfere with tying.

    abstract::When a stented bioprosthetic valve is used for aortic valve replacement, the valve stents protruding to the aortic side can interfere with suture tying. To resolve this problem, we developed a novel knot pusher for use on the index finger. This device has a short push rod appropriate for replacing bioprosthetic aortic...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.238188

    authors: Shibata T,Hattori K,Kato Y,Bito Y

    更新日期:2010-08-01 00:00:00

  • A more conservative technique for anterior mediastinal tracheostomy after sub-total resection of the trachea.

    abstract::Anterior mediastinal tracheostomy (AMT) is a rare but challenging operation associated with a high morbidity and mortality rate mainly related to the invasiveness of the procedure. In order to provide a more conservative technique with a lower risk of major postoperative complications, we proposed: (1) to reduce the e...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.260588

    authors: Martinod E,Guillaume JY,Radu DM,Despreaux G

    更新日期:2011-05-01 00:00:00

  • Successful transapical aortic valve implantation four weeks before 97th birthday.

    abstract::Aortic valve replacement (AVR) is currently the treatment of choice in patients with symptomatic aortic stenosis, but transcatheter off-pump aortic valve implantation is a novel and emerging technique, which might be performed more frequently in the near future and may be a less invasive alternative to conventional AV...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.201798

    authors: Wendt D,Eggebrecht H,Kahlert P,Thielmann M

    更新日期:2009-06-01 00:00:00