Long-term Results of Mechanical and Biological Heart Valves in Dialysis and Non-Dialysis Patients

Abstract

The long-term survival of dialysis-dependent patients after AVR is low (5-year survival: 29.5 %) irrespective of the type of heart valve prosthesis. Therefore, the use of biological AVR is not contraindicated in this group of patients.

Bioprosthetic versus Mechanical Prostheses for Valve Replacement in End-stage Renal Disease Patients: Systematic review and meta-analysis

“…After exclusion of duplicate or irrelevant references, 40 potentially relevant articles were retrieved. After application of inclusion and exclusion criteria, 16 relevant articles were included in the present systematic review and meta-analysis (7,(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). A total of 8,483 patients with ESRD were included for analysis, including 6,187 receiving bioprosthesis and 2,296 receiving mechanical valves.…”

High Risk of Prosthetic Valve Endocarditis and Death After Valve Replacement Operations in Dialysis Patients

“…A study from Germany found that 2 of 11 (18.2%) dialysis patients experienced PVE after aortic valve replacement operations compared with 71 of 2027 (3.5%) nondialysis patients (p ¼ 0.057) [11]. Another study reported that 4 of 42 (9.5%) dialysis patients who underwent valve replacement operations required reoperation for PVE [12].…”

Aortic Valve Stenosis in a Dialysis Patient Waitlisted for Kidney Transplantation

“…Another important aspect is the choice of the right prosthetic valve, which remains controversial in dialysis patients [3]. Bioprosthetic valve stenosis may be a problem in long-term care of ESRD patients.…”

“…Gold standard therapy for severe AS is surgical aortic valve replacement (SAVR). In dialysis patients, SAVR is associated with increased morbidity and mortality [2,3], in particular because of a high burden of comorbidities. Data for dialysis patients suggest that transcatheter aortic valve implantation (TAVI) is feasible in this particular group [4], but that CKD including dialysis is associated with worse outcome after TAVI [5].…”