Minimally invasive reoperative aortic valve replacement – A systematic review and meta-analysis

Phan, Kevin; Zhou, Jessie J.; Niranjan, Nithiya; Tsai, Yi-Chin; Eusanio, Marco Di; Yan, Tristan D.

doi:10.1016/j.hlc.2014.12.098

Cited by 11 publications

(11 citation statements)

References 24 publications

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“…In a meta-analysis of seven observational studies of reoperative mini-AVR, Phan et al (41) found similar in-hospital mortality and stroke rates. The rates of PPM implantation, renal failure and re-operation for bleeding were again similar.…”

Section: Re-do Minimally Invasive Aortic Valve Surgerymentioning

confidence: 91%

Minimally invasive aortic valve replacement in high risk patient groups

Fudulu

Lewis

Benedetto³

et al. 2017

J. Thorac. Dis.

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Minimally invasive aortic valve replacement (AVR) aims to preserve the sternal integrity and improve postoperative outcomes. In low risk patients, this technique can be achieved with comparable mortality to the conventional approach and there is evidence of possible reduction in intensive care and hospital length of stay, transfusion requirement, renal dysfunction, improved respiratory function and increased patient satisfaction. In this review, we aim to asses if these benefits can be transferred to the high risk patient groups. We therefore, discuss the available evidence for the following high risk groups: elderly patients, re-operative surgery, poor lung function, pulmonary hypertension, obesity, concomitant procedures and high risk score cohorts.

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Section: Re-do Minimally Invasive Aortic Valve Surgerymentioning

confidence: 91%

Minimally invasive aortic valve replacement in high risk patient groups

Fudulu

Lewis

Benedetto³

et al. 2017

J. Thorac. Dis.

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“…[34][35][36][37] A recent meta-analysis of reoperative AVS cases concluded that the MIAVS is equally safe and effective even in patients with a challenging dissection. 38 In summary, there is a uniform demonstration of noninferior safety and efficacy of MIAVS compared to cAVS as well as a known cosmetic appeal and patient satisfaction. Less uniformly and predominantly in higher-volume centers, there is a benefit of decreased blood transfusions, respiratory insufficiency, and length of stay, with more patients being discharged home as opposed to rehabilitation or nursing homes.…”

Section: Aortic Valve Surgery: Minimally Invasive Optionsmentioning

confidence: 94%

Aortic Valve Surgery: Minimally Invasive Options

Ramlawi

Bedeir

Lamelas

2016

Methodist DeBakey Cardiovascular Journal

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Minimally invasive aortic valve surgery has not been adopted by a significant proportion of cardiac surgeons despite proven benefits. This may be related to a high learning curve and technical issues requiring retraining. In this review, we discuss the data for minimally invasive aortic valve surgery and describe our operative technique for both ministernotomy and anterior thoracotomy approaches. We also discuss the advent of novel sutureless valves and how these techniques compare to available transcatheter aortic valve procedures.

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] We aimed to create a technique that facilitates the replacement of aortic valve, shorten operating time, and avoid the complications of prolonged cardiopulmonary bypass (CPB) and aortic cross-clamp (ACC) times; while using the standard material.…”

Section: Introductionmentioning

confidence: 99%

The 9 Stress-free Stitches Technique: Feasibility and Outcomes of a New Technique for Aortic Valve Replacement

Apicella¹,

B²,

Joris³

2017

ujph

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Objective: This study aims to evaluate the feasibility and short-term outcomes of a novel surgical technique, named 'the nine stress-free stitches technique' for aortic valve replacement (AVR) in patients with aortic valve disease. Methods: From May 2013 to October 2015, 63 consecutive patients underwent aortic valve replacement with the nine stress-free stitches technique, using the Magna Ease bioprosthesis (Edwards Lifesciences, Irvine, CA, USA). Demographics, clinical and echocardiographic data were collected retrospectively. The primary endpoints were paravalvular leak, pacemaker insertion, and mortality. Results: There was one case of moderate paravalvular leak. 2 patients required permanent pacemaker implantation. In-Hospital mortality was 6.3%. All deaths were in redo or combined procedure patients. Conclusion: This preliminary series demonstrates that the nine stress-free stitches technique is an acceptable technique for aortic valve replacement. The potential advantages are reduced ischemic time, especially in combined procedures, with easy replication.

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Minimally invasive reoperative aortic valve replacement – A systematic review and meta-analysis

Cited by 11 publications

References 24 publications

Minimally invasive aortic valve replacement in high risk patient groups

Minimally invasive aortic valve replacement in high risk patient groups

Aortic Valve Surgery: Minimally Invasive Options

The 9 Stress-free Stitches Technique: Feasibility and Outcomes of a New Technique for Aortic Valve Replacement

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