Pacemaker after Sutureless and Rapid-Deployment Prostheses: A Progress Report from the SURD-IR
| Autor: | Francesco Pollari, Paolo Berretta, Alberto Albertini, Thierry Carrel, Kevin Teoh, Bart Meuris, Emmanuel Villa, Utz Kappert, Martin Andreas, Marco Solinas, Martin Misfeld, Carlo Savini, Antonio Fiore, Malakh Shrestha, Giuseppe Santarpino, Gian Luca Martinelli, Carmelo Mignosa, Mattia Glauber, Tristan Yan, Theodor Fischlein, Marco Di Eusanio |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Pulmonary and Respiratory Medicine
Science & Technology Cardiac & Cardiovascular Systems complications minimally invasive surgery (includes port access morbidity) Respiratory System aortic valve and root mini-thoracotomy) surgery AORTIC-VALVE-REPLACEMENT Cardiovascular System & Cardiology outcomes (includes mortality Surgery Cardiology and Cardiovascular Medicine Life Sciences & Biomedicine |
| Popis: | Objectives The aim of this study was to investigate the need for postoperative permanent pacemaker implantation (PPI) following sutureless and rapid-deployment aortic valve replacement (SuRD-AVR) in the context of a progress report from a large multicenter international registry (SURD-IR). Methods We retrospectively analyzed 4,166 patients who underwent SuRD-AVR between 2008 and 2019. The primary outcome was the need for PPI before discharge. The study population was analyzed separately according to the implanted prostheses (Su cohort and RD cohort). Each cohort was divided into two groups based on the operation date: an early group (“EG” = 2008–2016) and a late group (“LG” = 2017–2019). Results The rate of PPI decreased significantly in the Su cohort over time (EG = 10.8% vs LG = 6.3%, p Conclusions Our analysis showed a significant decrease in the PPI rate in patients who underwent Su-AVR over time. Patient selection as well as surgical improvements and a more accurate sizing could be correlated with this phenomenon. The RD cohort revealed no significant differences either in patient's characteristics or in PPI rate between the two time periods. |
| Databáze: | OpenAIRE |
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