Bioprosthetic Aortic Valve Durability: A Meta-Regression of Published Studies

The Annals of Thoracic Surgery
Mansen WangGary L Grunkemeier

Abstract

To compare structural valve deterioration (SVD) among bioprosthetic aortic valve types, a PubMed search found 54 papers containing SVD-free curves extending to at least 10 years. The curves were digitized and fit to Weibull distributions, and the mean times to valve failure (MTTF) were calculated. Twelve valve models were collapsed into four valve types: Medtronic (Medtronic, Minneapolis, MN) and Edwards (Edwards Lifesciences, Irvine, CA) porcine; and Sorin (Sorin Group [now LivaNova], London, United Kingdom) and Edwards pericardial. Meta-regression found MTTF was associated with the patient's age, publication year, SVD definition, and valve type. Sorin pericardial valves had significantly lower risk-adjusted MTTF (higher SVD risk), and there were no significant differences in MTTF among the other three valve types.

Citations

Jan 24, 2018·Circulation·Danny DvirUNKNOWN VIVID (Valve in Valve International Data) Investigators
Dec 24, 2018·Current Opinion in Cardiology·Amine MazineBobby Yanagawa
Feb 15, 2019·Circulation. Cardiovascular Quality and Outcomes·Jonathan R G EtnelJohanna J M Takkenberg
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Sep 9, 2018·Annals of Biomedical Engineering·Oren M RotmanDanny Bluestein
Aug 4, 2020·General Thoracic and Cardiovascular Surgery·Hiroshi TanakaYutaka Okita
Nov 4, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Krzysztof BartusBoguslaw Kapelak
Jul 22, 2020·The Annals of Thoracic Surgery·Michael PerssonUlrik Sartipy
Oct 23, 2020·Clinical Medicine Insights. Cardiology·Francesco NappiIrina Timofeeva
Aug 11, 2020·Heart, Lung & Circulation·Adam El-Gamel
Mar 20, 2021·Journal of the American College of Cardiology·Anas AboudStephan Ensminger
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Nov 5, 2020·The Annals of Thoracic Surgery·Dominik WiedemannMartin Andreas
Feb 6, 2020·The Journal of Thoracic and Cardiovascular Surgery·Jae Gun KwakWoong-Han Kim

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