Transcatheter transseptal mitral valve implantation with Edwards SAPIEN 3: the first experience of a single center
In recent years, there has been a clear trend towards increased mitral bioprosthetic valve surgery in comparison to mechanical prostheses [1]. According to the ESC Guidelines mitral bioprostheses are recommended for patients > 70 years old or those with a life expectancy lower than the presumed d...
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2021
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oai:doaj.org-article:e15ced6a59154f7f8ffe7b360897eb9c2021-12-02T18:55:08ZTranscatheter transseptal mitral valve implantation with Edwards SAPIEN 3: the first experience of a single center1734-93381897-429510.5114/aic.2021.104776https://doaj.org/article/e15ced6a59154f7f8ffe7b360897eb9c2021-03-01T00:00:00Zhttps://www.termedia.pl/Transcatheter-transseptal-mitral-valve-implantation-with-Edwards-SAPIEN-3-the-first-experience-of-a-single-center,35,43645,1,1.htmlhttps://doaj.org/toc/1734-9338https://doaj.org/toc/1897-4295In recent years, there has been a clear trend towards increased mitral bioprosthetic valve surgery in comparison to mechanical prostheses [1]. According to the ESC Guidelines mitral bioprostheses are recommended for patients > 70 years old or those with a life expectancy lower than the presumed durability of the bioprosthesis (class IIa/C). Importantly, the guidelines also recognize the prominence of quality of life after cardiosurgery and focus on patients’ preferences (class Ic), especially if long-term anticoagulation is nonoptimal (class Ic) [2]. Structural deterioration of mitral bioprostheses (structural valve deterioration – SVD) is the main limitation for their use. The average lifespan of a bioprosthetic valve is estimated at 16 years and the reoperation due to SVD affects as many as 75% of patients after a 20-year follow-up [3, 4]. Reoperation is usually associated with high risk of complications and mortality [5, 6].Paweł KraliszMarek FrankBożena SobkowiczSlawomir DobrzyckiTomasz HirnleTermedia Publishing HousearticleMedicineRENAdvances in Interventional Cardiology, Vol 17, Iss 1, Pp 105-108 (2021) |
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Medicine R Paweł Kralisz Marek Frank Bożena Sobkowicz Slawomir Dobrzycki Tomasz Hirnle Transcatheter transseptal mitral valve implantation with Edwards SAPIEN 3: the first experience of a single center |
description |
In recent years, there has been a clear trend towards increased mitral bioprosthetic valve surgery in comparison to mechanical prostheses [1]. According to the ESC Guidelines mitral bioprostheses are recommended for patients > 70 years old or those with a life expectancy lower than the presumed durability of the bioprosthesis (class IIa/C). Importantly, the guidelines also recognize the prominence of quality of life after cardiosurgery and focus on patients’ preferences (class Ic), especially if long-term anticoagulation is nonoptimal (class Ic) [2]. Structural deterioration of mitral bioprostheses (structural valve deterioration – SVD) is the main limitation for their use. The average lifespan of a bioprosthetic valve is estimated at 16 years and the reoperation due to SVD affects as many as 75% of patients after a 20-year follow-up [3, 4]. Reoperation is usually associated with high risk of complications and mortality [5, 6]. |
format |
article |
author |
Paweł Kralisz Marek Frank Bożena Sobkowicz Slawomir Dobrzycki Tomasz Hirnle |
author_facet |
Paweł Kralisz Marek Frank Bożena Sobkowicz Slawomir Dobrzycki Tomasz Hirnle |
author_sort |
Paweł Kralisz |
title |
Transcatheter transseptal mitral valve implantation with Edwards SAPIEN 3: the first experience of a single center |
title_short |
Transcatheter transseptal mitral valve implantation with Edwards SAPIEN 3: the first experience of a single center |
title_full |
Transcatheter transseptal mitral valve implantation with Edwards SAPIEN 3: the first experience of a single center |
title_fullStr |
Transcatheter transseptal mitral valve implantation with Edwards SAPIEN 3: the first experience of a single center |
title_full_unstemmed |
Transcatheter transseptal mitral valve implantation with Edwards SAPIEN 3: the first experience of a single center |
title_sort |
transcatheter transseptal mitral valve implantation with edwards sapien 3: the first experience of a single center |
publisher |
Termedia Publishing House |
publishDate |
2021 |
url |
https://doaj.org/article/e15ced6a59154f7f8ffe7b360897eb9c |
work_keys_str_mv |
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