The 4th European Association for Cardio-Thoracic Surgery adult cardiac surgery database report

Bridgewater, Ben; Kinsman, Robin; Walton, Peter; Gummert, Jan; Kappetein, Arie Pieter

doi:10.1510/icvts.2010.251744

Cited by 69 publications

(74 citation statements)

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“…10 -12 However, despite these data, the proportion of stentless aortic valves in routine cardiac surgery practice was only 10% of 28 657 bioprostheses implanted in North American hospitals reporting to the Society of Thoracic Surgeons database between 2000 and 2004 13 and Ͻ12% of all aortic valve prostheses implanted in Europe in 2008. 14 Being a bioprosthesis, the Freestyle aortic valve is also subject to limitations in long-term durability. The present study analyzed a variety of clinically relevant outcomes after aortic valve replacement with FSB in a large, single-center cohort prospectively followed for Յ18 years, which constitutes the longest longitudinal follow-up to our knowledge.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Clinical and Echocardiographic Follow-Up of the Freestyle Stentless Aortic Bioprosthesis

et al. 2012

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Background-Stentless aortic bioprostheses were designed to provide enhanced hemodynamic performance and potentially greater longevity. The present report describes the outcomes of patients with the Freestyle stentless bioprosthesis followed for Յ18 years. Methods and Results-Between 1993 and 2011, 430 patients underwent primary aortic valve replacement with a Freestyle bioprosthesis in the subcoronary position. Mean age was 68.2Ϯ8.2 years. All of the clinical and echocardiographic data were collected prospectively. Mean overall follow-up was 9.1Ϯ4.4 years and was complete in all of the patients. In-hospital mortality was 3.5% (nϭ15). Overall, 10-and 15-year survival were 60.7% and 35.0%, respectively. Fifty-one patients required reoperation during follow-up, including 27 for structural valve deterioration (SVD). Overall, freedom from reoperation was 91.0% and 75.0% at 10 and 15 years, whereas freedom from reoperation for SVD was 95.9% and 82.3%, respectively. At 10 and 15 years, freedom from reoperation for SVD was 94.0% and 62.6% for patients Ͻ60 years of age and 96.3% and 88.4% for patients Ն60 years of age (Pϭ0.002). The median time to explant for SVD was 10.7 years. SVD presented mostly as acute, severe aortic insufficiency attributed to leaflet tear (77.8%).The independent risk factors for reoperation for SVD were age Ͻ60 years (Pϭ0.001) and dyslipidemia (Pϭ0.02). Conclusions-Aortic valve replacement with the Freestyle bioprosthesis in a subcoronary position provides good long-term clinical and echocardiographic outcomes for patients Ͼ60 years of age. Severe aortic insufficiency with leaflet tear is the major mode of SVD leading to reoperation in these patients. (Circulation. 2012;126[suppl 1]:S198 -S204.)

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Section: Discussionmentioning

confidence: 99%

Long-Term Clinical and Echocardiographic Follow-Up of the Freestyle Stentless Aortic Bioprosthesis

et al. 2012

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“…In the past, data have been placed into the public domain through professional and public reports on an intermittent basis 9 10. However, a series of new tools and initiatives have been developed to make the available data much more accessible for the various interested parties.…”

Section: Brief Summarymentioning

confidence: 99%

Creating transparency in UK adult cardiac surgery data

Grant

Hickey

Cosgriff

et al. 2013

Heart

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“…The major focus of the SCTS database project over time has been risk-adjusted in-hospital mortality, but recently more emphasis has been placed on measuring postoperative complications, length of stay and longer-term mortality 10. The last of these can be measured because all patient records in the database have an ‘encrypted’ NHS number that allows linkage with the office of National Statistic to allow life status at any time to be established.…”

Section: The Data: Who Is In the Database What Is Measured How Are mentioning

confidence: 99%

“…The completeness rates of the submitted data are generally good—the incidence of missing data for age is 1.4% and for gender 0.07% between 2004 and 2008 10. Most important fields for risk stratification have an incidence of missing data of <5%.…”

Section: Data Quality: Accuracy Validation Completenessmentioning

confidence: 99%