Objekt-Metadaten

Clinical outcome and hemodynamic behavior of the Labcor Dokimos Plus aortic valve
Christ, Torsten ;  Zhigalov, Konstantin ;  Konertz, Wolfgang ;  Holinski, Sebastian

HaupttitelClinical outcome and hemodynamic behavior of the Labcor Dokimos Plus aortic valve
AutorChrist, Torsten
AutorZhigalov, Konstantin
AutorKonertz, Wolfgang
AutorHolinski, Sebastian
Seitenzahl5 S.
Freie SchlagwörterStented aortic valve replacement; Biological prosthesis; Valve replacement; Echocardiography
DDC610 Medizin und Gesundheit
Auch erschienen inJournal of Cardiothoracic Surgery. - 11 (2016), Artikel Nr. 160
ZusammenfassungBackground

The Labcor Dokimos Plus (LDP) is a stented externally mounted pericardial aortic bioprosthesis, which was recently introduced in Europe. Aims of the study are evaluation of operative and postoperative results as well as hemodynamic performance.

Methods

One hundred consecutive patients with a mean age of 65.9 ± 10.7 years (range 35–87) and a mean EuroSCORE II of 3.1 ± 3.9 (range 0.67–24.5) underwent aortic valve replacement with the LDP. Mean valve-size was 25.2 ± 1.7 mm. Concomitant procedures were performed in 34% of the cases. Postoperative clinical data were analyzed and hemodynamic performance of the prostheses was evaluated by transthoracic echocardiography. Clinical follow-up was 100%, echocardiographic follow-up was 93% complete.

Results

Intraoperatively no peculiarities occurred. Mean cross clamp times for isolated and complex procedures were 74.5 ± 20.0 min and 103.7 ± 37.1 min, respectively. Patients were extubated after a mean of 9.4 ± 15.8 h. There were no perioperative strokes. Bleeding events occurred in 4 patients. 30-day-mortality was 2%. One case of early endocarditis occurred. Echocardiography showed maximum and mean pressure gradients of 18.1 ± 6.4 and 9.6 ± 3.7 mmHg, respectively. Correspondingly to valve sizes 21, 23, 25 and 27 mm, mean pressure gradients were 17.3, 9.5, 8.5 and 10.2 mmHg, effective orifice areas were 1.92, 1.79, 2.0, 2.16 cm2 and indexed effective orifice areas were 1.08, 0.95, 0.99 and 1.01 cm2/m2, respectively. No relevant regurgitations occurred.

Conclusions

The LDP showed operatively no peculiarities and a satisfactory clinical outcome with low perioperative morbidity and mortality. The hemodynamic performance of the implanted valve sizes was satisfactory.
Dokumente
PDF-Datei von FUDOCS_document_000000026802
Falls Ihr Browser eine Datei nicht öffnen kann, die Datei zuerst herunterladen und dann öffnen.
 
Fachbereich/EinrichtungMedizinische Fakultät Charité - Universitätsmedizin Berlin
Erscheinungsjahr2016
Dokumententyp/-SammlungenWissenschaftlicher Artikel
SpracheEnglisch
RechteCreative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Anmerkungen des AutorsDer Artikel wurde in einer reinen Open-Access-Zeitschrift publiziert.
Erstellt am07.04.2017 - 09:37:32
Letzte Änderung07.04.2017 - 09:48:12
 
Statische URLhttp://edocs.fu-berlin.de/docs/receive/FUDOCS_document_000000026802
DOI10.1186/s13019-016-0561-5
Zugriffsstatistik
 

LOADING...