Medium term follow-up after percutaneous pulmonary valve replacement with the Melody® valve

Autor: Bjorn Cools, Werner Budts, Ruth Heying, Derize Boshoff, Benedicte Eyskens, Stefan Frerich, Els Troost, Marc Gewillig
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: International Journal of Cardiology: Heart & Vasculature, Vol 7, Iss C, Pp 92-97 (2015)
Druh dokumentu: article
ISSN: 2352-9067
DOI: 10.1016/j.ijcha.2015.02.014
Popis: Introduction: Data on long term function of the Melody valve are scarce. Patients and methods: single institution; results of percutaneous pulmonary valve implantation (PPVI) from 2006 to 2014. The function of the valved conduit was analyzed by Doppler echocardiography. Annual Chest X-ray after implant and permanent screening for events (e.g. Endocarditis). Results: 112 Melody valves were implanted in 111 patients; mean age 19.3 years (4.5–81.6). No pre-stenting of the RVOT was performed (n = 4) at first. In the next 107 patients pre-stenting was always performed. In 82 patients 1 pre-stent, 18 patients 2, in 6 patients 3 stents and 1 patient 4 stents were used. The Melody stent was dilated up to 24 mm (n = 4), 22 mm (n = 72), 20 mm (n = 28) and 18 mm (n = 6). When stenotic, the Doppler gradient reduced from 67.0 mm Hg (SD 13.9) to 18.9 mm Hg (SD 10.4) (p
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