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Evidence for overuse of cardiovascular healthcare services in high-income countries: protocol for a systematic review and meta-analysis
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In: BMJ Open (2022)
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Different Rates of Bioprosthetic Aortic Valve Failure With Perimount™ and Trifecta™ Bioprostheses
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In: Front Cardiovasc Med (2022)
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Abstract:
OBJECTIVES: The use of bioprostheses in surgical aortic valve replacement (SAVR) has increased in younger patients. Comparative analysis of different types of bioprostheses is lacking. We aimed to compare two proprietary bioprostheses with different designs, i.e., internally and externally mounted leaflets, focusing on the long-term durability and survival. METHODS: We conducted a large single-center retrospective analysis of all consecutive patients who underwent SAVR with either Perimount™ or Trifecta™ bioprostheses between 2001 and 2019. The patient groups were further subdivided by age <65 and >65. Endpoints of the study were all-cause mortality and reoperation due to bioprosthetic valve failure (BVF). RESULTS: Selection criteria resulted in a total sample of 5,053 patients; 2,630 received a Perimount prosthesis (internally mounted leaflets) and 2,423 received a Trifecta prosthesis (externally mounted leaflets). The mean age at surgery was similar (69 ± 11 y, PM, and 68 ± 10 y, TF, p = 0.9), as was estimated survival at 8 years (76.1 ± 1.3%, PM, and 63.7 ± 1.9% TF; p=0.133). Patients in the Trifecta group had a significantly higher cumulative reoperation rate at 8 years compared to those in the Perimount group (16.9 ± 1.9% vs. 3.8 ± 0.4%; p < 0.01). This difference persisted across age groups (<65 y, 13.3% TF vs. 8.6% PM; >65 y, 12% TF vs. 7% PM). CONCLUSION: Bioprostheses for SAVR with externally mounted leaflets (Trifecta) showed significantly higher long-term reoperation rates compared to those with internally mounted leaflets (Perimount), regardless of the patient's age at SAVR. Survival was similar with both bioprostheses.
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Keyword:
Cardiovascular Medicine
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URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811120/
https://doi.org/10.3389/fcvm.2021.822893
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Switching of oral anticoagulants in atrial fibrillation: a cohort study using Australian general practice data
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Potencialidades do estudo contextualizado do sistema cardiovascular para o desenvolvimento da linguagem científica
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Molecular Epidemiology of G6PD Genotypes in Different Ethnic Groups Residing in Saharan and Sahelian Zones of Mauritania
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In: ISSN: 2076-0817 ; Pathogens ; https://hal-amu.archives-ouvertes.fr/hal-03429269 ; Pathogens, MDPI, 2021, 10 (8), pp.931. ⟨10.3390/pathogens10080931⟩ (2021)
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Associations between Cardiovascular Signal Entropy and Cognitive Performance over Eight Years
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In: Entropy ; Volume 23 ; Issue 10 (2021)
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Elastogenesis Correlates With Pigment Production in Murine Aortic Valve Leaflets
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In: Front Cardiovasc Med (2021)
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Oral, Tongue-Coating Microbiota, and Metabolic Disorders: A Novel Area of Interactive Research
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In: Front Cardiovasc Med (2021)
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Respiratory Sinus Arrhythmia in Children—Predictable or Random?
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In: Front Cardiovasc Med (2021)
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| 11 |
Utility of blood pressure measurements at an initial screening visit to identify Chinese children and adolescents with hypertension
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| 12 |
Switching of oral anticoagulants in patients with nonvalvular atrial fibrillation: A narrative review
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Psychophysiological Responses to Acute Cold Water Immersion
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| 14 |
Implementation of cascade genetic screening for familial hypercholesterolemia: Design of the Swiss catch randomized controlled trial
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In: EAS 2021 abstracts : European Atherosclerosis Society, vol. 331, pp. e184 (2021)
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Sotagliflozin in Patients with Diabetes and Chronic Kidney Disease
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| 16 |
Minimizing the duration of laser Doppler flowmetry recordings while maintaining wavelet analysis quality: A methodological study
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In: ISSN: 0026-2862 ; EISSN: 1095-9319 ; Microvascular Research ; https://hal-univ-avignon.archives-ouvertes.fr/hal-03291993 ; Microvascular Research, Elsevier, 2020, 131, ⟨10.1016/j.mvr.2020.104034⟩ (2020)
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Tropomyosin autoantibodies associated with checkpoint inhibitor myositis
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In: Research outputs 2014 to 2021 (2020)
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Factors that influence adherence to treatment plans amongst people living with cardiovascular disease: A review of published qualitative research studies
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In: Research outputs 2014 to 2021 (2020)
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Quality of life measured by EQ-5D at different treatment time points for coronary artery disease: protocol for a systematic review and meta-analysis
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Quality of life measured by EQ-5D at different treatment time points for coronary artery disease: protocol for a systematic review and meta-analysis
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In: BMJ Open (2020)
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