Best Practices of Aortic Valve Replacement With the Edwards Intuity Elite Valve.
| Autor: | Malaisrie SC; Division of Cardiac Surgery, Northwestern University, Northwestern Medicine, Chicago, Illinois. Electronic address: malaisrie@northwestern.edu., Mumtaz MA; Department of Cardiovascular and Thoracic Surgery, UPMC Pinnacle Health, Harrisburg, Pennsylvania., DiGiorgi PL; Shipley Cardiothoracic Center, Lee Memorial Health System, Fort Myers, Florida., Hoffberger JD; Department of Cardiothoracic Surgery, Sarasota Memorial Hospital, Sarasota, Florida., Slachman FN; Department of Surgery, Mercy General Hospital, Dignity Health, Sacramento, California., Grosner G; Department of Cardiac Surgery, Gates Vascular Institute, Buffalo, New York., Herskowitz K; Division of Cardiac Surgery, Broward Health Medical Center, Fort Lauderdale, Florida., Segurola RJ Jr; Department of Cardiac Surgery, Jackson Heart Surgery Institute, Jackson Memorial Hospital, Doral, Florida., Accola KD; Department of Thoracic Cardiovascular Surgery, AdventHealth Orlando Cardiovascular Institute, Orlando, Florida., Davies JE; Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | The Annals of thoracic surgery [Ann Thorac Surg] 2020 Apr; Vol. 109 (4), pp. 1289-1293. Date of Electronic Publication: 2019 Dec 07. |
| DOI: | 10.1016/j.athoracsur.2019.10.042 |
| Abstrakt: | Purpose: The Edwards Intuity Elite (EIE; Edwards Lifesciences, Irvine, CA) valve system is a recent surgical aortic valve designed to expedite implantation, facilitate minimally invasive approaches, and provide low gradients, particularly in smaller valve sizes. The report reviews various best practices learned through experience with the EIE valve system. Description: With its sealing frame designed to anchor and seal the valve after resection of the diseased native aortic valve, EIE use differs from that of conventional sutured valves. Evaluation: Critical technical aspects include patient selection, aortotomy and debridement, valve sizing, guiding suture technique and valve seating and deployment. In addition, special anatomic and pathologic conditions are considered, as well as intraoperative transesophageal echocardiography and postimplantation cardiac rhythm monitoring. Conclusions: These best practices simplify and standardize the use of the EIE valve system and may benefit surgeons adopting this valve. (Copyright © 2020 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|