Early Outcomes of Intuity Rapid Deployment Aortic Valve Replacement Compared With Conventional Biological Valves in Japanese Patients
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- Ono Yoshikazu
- Department of Cardiac Surgery, National Cerebral and Cardiovascular Center
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- Yajima Shin
- Department of Cardiac Surgery, National Cerebral and Cardiovascular Center
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- Kainuma Satoshi
- Department of Cardiac Surgery, National Cerebral and Cardiovascular Center
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- Kawamoto Naonori
- Department of Cardiac Surgery, National Cerebral and Cardiovascular Center
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- Tadokoro Naoki
- Department of Cardiac Surgery, National Cerebral and Cardiovascular Center
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- Kakuta Takashi
- Department of Cardiac Surgery, National Cerebral and Cardiovascular Center
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- Koga-Ikuta Ayumi
- Department of Cardiac Surgery, National Cerebral and Cardiovascular Center
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- Fujita Tomoyuki
- Department of Cardiac Surgery, National Cerebral and Cardiovascular Center
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- Fukushima Satsuki
- Department of Cardiac Surgery, National Cerebral and Cardiovascular Center
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<p>Background: This study aimed to elucidate the short-term surgical outcomes and hemodynamics of the Intuity valve compared to the standard bioprosthesis in Japanese patients.</p><p>Methods and Results: Among the 307 consecutive patients who underwent aortic valve replacement (AVR) between February 2019 and March 2021, the Intuity valve was implanted in 95 patients (Intuity group) and a conventional stented bioprosthesis was implanted in 193 patients (conventional group). After propensity score matching, there was no significant difference in in-hospital mortality between the Intuity (n=2, 3%) and conventional groups (n=0, P=0.490). Operation, cardiopulmonary bypass, and aortic cross-clamping times were significantly shorter in the Intuity group. Although the effective orifice area index, trans-prosthetic mean pressure gradient, and peak velocity were similar between the 2 groups at 1 week postoperatively, the Intuity group showed a better mean pressure gradient and peak velocity at 1 year postoperatively. Complete atrioventricular block requiring permanent pacemaker implantation developed in 2 patients (3%) in the Intuity group and none in the conventional group (P=0.476). Mild or greater paravalvular leakage was present in 8 patients (13%) in the Intuity group and 2 patients (3%) in the conventional group (P=0.095).</p><p>Conclusions: AVR using the Intuity valve in Japanese patients is satisfactory, with a better valve performance and a low incidence of complete atrioventricular block at 1 year postoperatively.</p>
収録刊行物
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- Circulation Journal
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Circulation Journal 86 (11), 1710-1718, 2022-10-25
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390012390812162688
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 032474663
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- PubMed
- 35569971
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
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- 抄録ライセンスフラグ
- 使用不可