Comparison of Postoperative Outcomes of Sutureless versus Stented Bioprosthetic Aortic Valve Replacement

Guner, Yesim; Çiçek, Ayşe; Karacalilar, Mehmet; Ersoy, Burak; Kyaruzi, Mugısha; Onan, Burak

doi:10.21470/1678-9741-2020-0404

Cited by 1 publication

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“…This study is the first to compare the overall survival of people who received the stented and sutureless bioprostheses in Serbia and one of the few available studies conducted in middle-income countries. A study in Turkey (also a middle-income country) explored postoperative outcomes after the implantation of the stented and sutureless valves in a small sample of 52 patients and found no appreciable differences in morbidity and mortality [ 16 ]. Our data also showed that Perceval bioprostheses favors minimally invasive surgery, mini-sternotomy and thoracotomy compared to the stented bioprostheses implantation.…”

Section: Discussionmentioning

confidence: 99%

An Analysis of Early Results after Valve Replacement in Isolated Aortic Valve Stenosis by Using Sutureless vs. Stented Bioprostheses: A Single-Center Middle-Income Country Experience

et al. 2023

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Background and Objectives: There is a lack of data about the survival of patients after the implantation of sutureless relative to stented bioprostheses in middle-income settings. The objective of this study was to compare the survival of people with isolated severe aortic stenosis after the implantation of sutureless and stented bioprostheses in a tertiary referral center in Serbia. Materials and Methods: This retrospective cohort study included all people treated for isolated severe aortic stenosis with sutureless and stented bioprostheses from 1 January 2018 to 1 July 2021 at the Institute for Cardiovascular Diseases “Dedinje”. Demographic, clinical, perioperative and postoperative data were extracted from the medical records. The follow-up lasted for a median of 2 years. Results: The study sample comprised a total of 238 people with a stented (conventional) bioprosthesis and 101 people with a sutureless bioprosthesis (Perceval). Over the follow-up, 13.9% of people who received the conventional and 10.9% of people who received the Perceval valve died (p = 0.400). No difference in the overall survival was observed (p = 0.797). The multivariate Cox proportional hazard model suggested that being older, having a higher preoperative EuroScore II, having a stroke over the follow-up period and having valve-related complications were independently associated with all-cause mortality over a median of 2 years after the bioprosthesis implantation. Conclusions: This research conducted in a middle-income country supports previous findings in high-income countries regarding the survival of people with sutureless and stented valves. Survival after bioprosthesis implantation should be monitored long-term to ensure optimum postoperative outcomes.

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Section: Discussionmentioning

confidence: 99%