Early results of the Resilia Inspiris aortic valve in the old age patients - a retrospective comparison with the Carpentier Edwards Magna Ease.

Details

Serval ID
serval:BIB_086C16E03A64
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Early results of the Resilia Inspiris aortic valve in the old age patients - a retrospective comparison with the Carpentier Edwards Magna Ease.
Journal
Journal of cardiovascular and thoracic research
Author(s)
Shala M., Niclauss L.
ISSN
2008-5117 (Print)
ISSN-L
2008-5117
Publication state
Published
Issued date
2020
Peer-reviewed
Oui
Volume
12
Number
3
Pages
222-226
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Introduction: The Inspiris Resilia aortic valve® (INSPIRIS) is a pericardial bio-prosthesis with a new sterilization procedure that shows promising results in terms of reduced calcification. Methods: The 30-day mortality and morbidity were analyzed, comparing the INSPIRIS implanted between May 2017 and the end of January 2019, with its "predecessor", the Carpentier-Edwards Perimound Magna Ease (ME). Echocardiography was performed one-week after surgery. 125consecutively operated patients were included (59 INSPIRIS, 66 ME). Results: One patient in the ME group died and one patient in the INSPIRIS group had a complicated postoperative course due to right heart failure. Two patients (one INSPIRIS, one ME patient) suffered a perioperative stroke. The hemodynamic evaluation shows an effective reduction of mean transvalvular pressure gradients after surgery in both groups. INSPIRIS tended to have lower trans-prosthetic pressure gradients (9 mm Hg, Interquartile range [IQR] 11-7 mm Hg versus 12 mm Hg, IQR 15-9 mmHg; P = 0.001), reduced trans-prosthetic blood flow acceleration (209 cm/s, IQR 220-190 cm/s versus227 cm/s, IQR 263-191 cm/s; P = 0.003) and increased permeability indices (57%, IQR 67%- 47% versus42%, IQR 48%-38%; P8%; P < 0.001). Conclusion: There are only few clinical data available from INSPIRIS, and the present analysis confirms good results initial postoperatively with a tendency towards possibly improved hemodynamics compared to ME.
Keywords
Bioprosthetic Aortic Valve, Hemodynamics, Inspiris Resilia Aortic Valve, Surgical Aortic Valve Replacement, Tissue Preservation
Pubmed
Web of science
Open Access
Yes
Create date
03/11/2020 11:59
Last modification date
13/02/2024 8:25
Usage data