Less-Invasive Aortic Valve Replacement: Trends and Outcomes From The Society of Thoracic Surgeons Database
| Autor: | Bartley P. Griffith, Chetan Pasrija, Jeffrey C. Milliken, James S. Gammie, Malek G. Massad, Zachary Kon, Khaled Abdelhady, Mehrdad Ghoreishi, Matthew Brennan, Maria V. Grau-Sepulveda, Morgan L. Cox, Vinod H. Thourani, Jeffery P. Jacobs, Lars G. Svensson, Bradley S. Taylor, Vinay Badhwar |
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| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic valve Database business.industry medicine.medical_treatment Operative mortality Less invasive 030204 cardiovascular system & hematology medicine.disease computer.software_genre 03 medical and health sciences Partial sternotomy 0302 clinical medicine Postoperative stroke medicine.anatomical_structure 030228 respiratory system Valve replacement Aortic valve replacement medicine Surgery Thoracotomy Cardiology and Cardiovascular Medicine business computer |
| Zdroj: | The Annals of Thoracic Surgery. 111:1216-1223 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/j.athoracsur.2020.06.039 |
| Popis: | Background This study compares outcomes of conventional and less-invasive (LI) approaches for aortic valve replacement (AVR) using The Society of Thoracic Surgeons database. Methods Between 2011 and 2017, we identified 122,474 patients undergoing isolated primary AVR. Patients were categorized into 3 groups: (1) full sternotomy (FS) (n = 98,549; 78%), (2) partial sternotomy (PS) (n = 17,306; 15%), and (3) right thoracotomy (RT) (n = 6619; 7%). Results The rate of LI-AVR increased from 17% in 2011 to 23% in 2016 (P Conclusions Less-invasive AVR is associated with an operative mortality and postoperative stroke rate similar to that of FS. Less-invasive AVRs should serve as a benchmark for comparison between transcatheter aortic valve replacement and surgical AVR in low-risk patients. |
| Databáze: | OpenAIRE |
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