Propensity score analysis of outcomes following minimal access versus conventional aortic valve replacement

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Sharaf-Eldin ShehadaRüdiger Lange

Abstract

Minimal access aortic valve replacement has become routine in many institutions. Aim of this study was to compare the clinical outcomes between conventional and minimal access aortic valve replacement. We retrospectively analysed the data of 2103 patients who underwent primary, isolated aortic valve replacement (AVR) in our institution between January 2001 and May 2012 with a minimal access AVR (MAAVR) via the upper partial ministernotomy approach (n = 936) or conventional AVR (CAVR) via the full sternotomy approach (n = 1167). After propensity score matching considering potential confounders [age, sex (female), weight, height, preoperative serum creatinine level, previous myocardial infarction, LV-EF and aortic valve pathology (isolated AS)], 585 matched patients were included in each group. Mean age (65 ± 10.5 vs 65.7 ± 11.5 years, P = 0.23), gender (females 37.2%, P = 0.9), aortic cross-clamp time (65.6 ± 18.4 vs 64.3 ± 19.8 min, P = 0.25) and postoperative blood loss [median (IQR) 400 (224-683) vs 400 (250-610) ml, P = 0.83) were similar in MAAVR and CAVR group. Thirty-day mortality was also not significantly different (1.5 vs 1.7%, P = 0.74, respectively). In contrast, CPB times were significantly longer in MAAVR (93.5 ± 2...Continue Reading

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Citations

Nov 17, 2015·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Salvatore LentiniRenato Gregorini
Jul 30, 2014·The Annals of Thoracic Surgery·Kevin PhanTristan D Yan
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Aug 23, 2019·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Piergiorgio BrunoMassimo Massetti
Jul 31, 2020·Asian Cardiovascular & Thoracic Annals·Ayman KenawyJoseph Zacharias
Oct 1, 2017·Interactive Cardiovascular and Thoracic Surgery·Sharaf-Eldin ShehadaHeinz Jakob
Feb 26, 2019·International Heart Journal·Dong ZhaoChunSheng Wang
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Sep 11, 2019·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·E V RosseĭkinV V Bazylev
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Mar 16, 2019·The Thoracic and Cardiovascular Surgeon·Francisco Estevez-CidVictor Bautista-Hernandez
Jun 6, 2021·Seminars in Thoracic and Cardiovascular Surgery·Ulvi Cenk OezpekerLudwig Mueller

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