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Multicenter Study
. 2019 Oct 1;56(4):793-799.
doi: 10.1093/ejcts/ezz055.

Minimally invasive aortic valve replacement with sutureless and rapid deployment valves: a report from an international registry (Sutureless and Rapid Deployment International Registry)†

Paolo Berretta  1 , Martin Andreas  2 , Thierry P Carrel  3 , Marco Solinas  4 , Kevin Teoh  5 , Theodor Fischlein  6 , Giuseppe Santarpino  7 , Thierry Folliguet  8 , Emmanuel Villa  9 , Bart Meuris  10 , Carmelo Mignosa  11 , Gianluca Martinelli  12 , Martin Misfeld  13 , Mattia Glauber  14 , Utz Kappert  15 , Carlo Savini  16 , Malak Shrestha  17 , Kevin Phan  18 , Alberto Albertini  19 , Tristan Yan  18   20 , Marco Di Eusanio  18   21
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Free article
Multicenter Study

Minimally invasive aortic valve replacement with sutureless and rapid deployment valves: a report from an international registry (Sutureless and Rapid Deployment International Registry)†

Paolo Berretta et al. Eur J Cardiothorac Surg. .
Free article

Abstract

Objectives: The impact of sutureless and rapid deployment (SURD) valves on the clinical outcomes of patients undergoing minimally invasive aortic valve replacement (MI-AVR) has still to be defined. The aim of this study was to assess clinical characteristics and in-hospital results of patients receiving SURD-AVR through less invasive approaches in the large population of the Sutureless and Rapid Deployment International Registry (SURD-IR).

Methods: Of the 1935 patients who received primary isolated SURD-AVR between 2009 and 2018, a total of 1418 (73.3%) underwent MI interventions and were included in this analysis. SURD-AVR was performed using upper ministernotomy in 56.4% (n = 800) of cases and anterior right thoracotomy in 43.6% (n = 618). Perceval S was implanted in 1011 (71.3%) patients and Edwards Intuity or Intuity Elite in 407 (28.7%) patients.

Results: Overall in-hospital mortality and stroke rates were 1.7% and 2%, respectively. A definitive pacemaker implantation was reported in 9% of cases and significantly decreased over the observational period, from 20.6% to 5.6% (P = 0.002). The Perceval valve was associated with shorter operative times and was more frequently implanted in patients receiving anterior right thoracotomy incision. The Intuity valve was preferred in younger patients and revealed superior postoperative haemodynamic results.

Conclusions: SURD-AVR was largely performed through less invasive approaches and can be considered as a primary indication in MI surgery. In the SURD-IR cohort, MI SURD-AVR using both Perceval and Intuity valves appeared a safe and reproducible procedure associated with promising early results.

Keywords: Aortic valve replacement; Minimally invasive aortic valve replacement; Rapid deployment valve; Sutureless and Rapid-Deployment Aortic Valve Replacement International Registry; Sutureless valve.

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