Incidence of valvular regurgitation and leaflet perforation by using automated titanium fasteners (CORKNOT®) in heart valve repair or replacement: less usual than reported
| العنوان: | Incidence of valvular regurgitation and leaflet perforation by using automated titanium fasteners (CORKNOT®) in heart valve repair or replacement: less usual than reported |
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| المؤلفون: | Ong Zhi Xian, Kang Giap Swee, Chang Guohao, Theo Kofidis, Ashlynn Ler, Faizus Sazzad |
| المصدر: | Journal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-9 (2021) Journal of Cardiothoracic Surgery |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Aortic valve, Male, medicine.medical_treatment, Heart Valve Diseases, 030204 cardiovascular system & hematology, 0302 clinical medicine, Postoperative Complications, Valve replacement, Anesthesiology, Mitral valve, RD78.3-87.3, Intraoperative Complications, Heart valve prosthesis, Heart Valve Prosthesis Implantation, Titanium, Heart valves, Incidence, General Medicine, Middle Aged, Cardiac surgery, medicine.anatomical_structure, Treatment Outcome, Cardiothoracic surgery, Automated fastener, Female, Cardiology and Cardiovascular Medicine, Research Article, Pulmonary and Respiratory Medicine, Adult, medicine.medical_specialty, RD1-811, Perforation (oil well), 03 medical and health sciences, medicine, Humans, Aged, Retrospective Studies, Rupture, Sutures, business.industry, Suture Techniques, Surgery, Aortic cross-clamp, 030228 respiratory system, Corknot, Heart valve repair, Feasibility Studies, business, Follow-Up Studies |
| الوصف: | Background CORKNOT® facilitates a reduction in cardiopulmonary bypass (CPB) time, aortic cross clamp (ACC) time and operative time, but reported to be associated with other complications. We aim to quantify the incidence of valvular complications related to CORKNOT® and determine the feasibility of its use between different valvular surgeries. Methods Patients who underwent heart valve repair or replacement surgery via the use of automated titanium suture fasteners (CORKNOT®) in a tertiary care hospital were included in the study. This single-centre retrospective study was conducted on 132 patients between January 2016 and June 2018. Results In our study, the overall mean operative time was 320.0 ± 97.0 min, mean CPB time was 171.4 ± 76.0 min and the calculated mean ACC time was 105.9 ± 54.0 min. Fifty-eight patients (43.9%) underwent minimally invasive valve replacement or repair surgery and 66 patients (50.0%) underwent concomitant procedures. A total of 157 valves were operated on, with 112 (84.8%) single valve surgeries, 15 (11.4%) double valve surgeries and 5 (3.8%) triple valve surgeries. After reviewed by the cardiologist blinded towards the study, we report trivial and/or mild paravalvular leak (PVL) in immediate post-operative echocardiography was found in 1 (1.01%) patients. There were no reported cases of valvular thrombosis, leaflet perforation, device dislodgement or embolization, moderate and/or severe PVL during hospitalization and follow-up echocardiography within 1 year. Single mitral valve and aortic surgeries had comparable incidences of post surgical complications. Conclusion We conclude the feasibility of CORKNOT® utilisation in mitral and aortic valve surgeries. Additionally, incidence of CORKNOT® related complications in heart valve repair or replacement surgery is less usual in our setting than previously reported. These results motivate the use of CORKNOT® as a valid alternative with complete commitment. |
| اللغة: | English |
| تدمد: | 1749-8090 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c09cd91a1cadc0f907abd4e5194a5893 https://doaj.org/article/0fe72fb7fb924d66805d5b2602f33d3e |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c09cd91a1cadc0f907abd4e5194a5893 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 17498090 |
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