Bicarbon valve - European multicenter clinical evaluation

被引：24

作者：

Borman, JB ^{[1
]}

Brands, WGB ^{[1
]}

Camilleri, L ^{[1
]}

Cotrufo, M ^{[1
]}

Daenen, W ^{[1
]}

Gandjbakhch, I ^{[1
]}

Infantes, C ^{[1
]}

Khayat, A ^{[1
]}

Laborde, F ^{[1
]}

Pellegrini, A ^{[1
]}

Piwnica, A ^{[1
]}

Reichart, B ^{[1
]}

Sharony, R ^{[1
]}

Walesby, R ^{[1
]}

Warembourg, H ^{[1
]}

机构：

[1] Bikur Cholim Hosp, Jerusalem, Israel

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1998年 / 13卷 / 06期

关键词：

Bicarbon valve; heart valve replacement; bileaflet hinged mechanical prosthesis; results;

D O I：

10.1016/S1010-7940(98)00074-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: Fifteen collaborating centers in eight countries present their pooled experience with the new Bicarbon(TM) bileaflet valve. Methods: Between 4/90 and 4/96, 1351 patients, 806 males and 545 females, aged 10 to 83, mean 58.4 +/- 12.4, underwent valve implantation. Operations: aortic valve replacement (AVR), 726; mitral valve replacement (MVR), 475; double valve replacement (DVR), 150. Additional procedures: CABG, 211; TV repair, 64; other, 152. Results: Mortality: 67 early (seven valve related) and 56 late (40 valve related). Valve thrombosis: six obstructive, three non-obstructive; embolism: nine major cerebral, 37 other. Major bleeding: 29. Hemolysis: two clinically significant. Non-structural dysfunction: 24 paravalvular leaks, one leaflet interference, No structural failure! Endocarditis: 24. Reoperation 48: 22 non-structural dysfunctions, 14 endocarditis, seven thrombosis and embolism, five other. Estimated 5-year freedom from valve-related deaths is 97.2% for AVR and 92.4% for MVR; 4-year freedom from valve related deaths for DVR is 90.5%, Mean calculated NYHA improvement is 1.24. Conclusions: The Bicarbon mechanical prosthesis is well designed, durable, has good hemodynamic features and an acceptably low incidence of complications. (C) 1998 Elsevier Science B.V. All rights reserved.

引用

页码：685 / 693

页数：9

共 29 条

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