Early- and longer-term outcomes of David versus Florida sleeve procedure: propensity-matched comparison

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11150%2F22%3A10441287" target="_blank" >RIV/00216208:11150/22:10441287 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00179906:_____/22:10441287

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=t0Ms5yrPFw" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=t0Ms5yrPFw</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1093/ejcts/ezac104" target="_blank" >10.1093/ejcts/ezac104</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Early- and longer-term outcomes of David versus Florida sleeve procedure: propensity-matched comparison

Popis výsledku v původním jazyce

Abstract OBJECTIVES: The aim of this study was to compare short- and longer-term outcomes of David (DV) versus Florida sleeve (FS) procedure in patients requiring valve-sparing aortic root replacement. METHODS: Between January 1996 and December 2020 285 patients received a DV procedure (median age 60 years; 26% females) and 57 patients underwent an FS procedure (median age 64 years; 19% females) in our department. Propensity score matching using patient characteristics led to 58 (DV) versus 57 (FS) patients. End points were defined as primary: freedom from aortic valve and/or aortic root-related reoperation and freedom from aortic regurgitation &gt;_moderate and secondary: early and late survival. RESULTS: Thirty-day mortality was 2% (DV) and 0% (FS) (P = 0.319). There was 1 early stroke in each group (P = 0.990). Follow-up was complete in 99% with only 1 patient (FS) lost. The 5- and 10-year freedom from aortic valve and/or aortic root related reoperation was 98 +- 2% and 96 +- 3% in the DV group and 92 +- 5% and 84 +- 9% in the FS group, respectively (P = 0.095). The 5- and 10-year freedom from aortic regurgitation &gt;_moderate was 88 +- 5% and 80 +- 8% in the DV group and 92 +- 5% and 78 +- 1% in the FS group, respectively (P = 0.782). The 5- and 10-year survival rates were 93 +- 4% and 82 +- 6% (DV) vs 75 +- 7% and 67 +- 10% (FS), respectively (P = 0.058). No case of endocarditis (DV) and 3 cases of endocarditis (FS) (P = 0.055) were observed during follow-up. CONCLUSIONS: Both DV and FS resulted in similar early and longer-term outcomes with a trend to slightly better performance and survival in the DV group. Florida sleeve procedure might be an alternative approach for patients with higher-risk profiles requiring valvesparing aortic root replacement.

Název v anglickém jazyce

Early- and longer-term outcomes of David versus Florida sleeve procedure: propensity-matched comparison

Popis výsledku anglicky

Abstract OBJECTIVES: The aim of this study was to compare short- and longer-term outcomes of David (DV) versus Florida sleeve (FS) procedure in patients requiring valve-sparing aortic root replacement. METHODS: Between January 1996 and December 2020 285 patients received a DV procedure (median age 60 years; 26% females) and 57 patients underwent an FS procedure (median age 64 years; 19% females) in our department. Propensity score matching using patient characteristics led to 58 (DV) versus 57 (FS) patients. End points were defined as primary: freedom from aortic valve and/or aortic root-related reoperation and freedom from aortic regurgitation &gt;_moderate and secondary: early and late survival. RESULTS: Thirty-day mortality was 2% (DV) and 0% (FS) (P = 0.319). There was 1 early stroke in each group (P = 0.990). Follow-up was complete in 99% with only 1 patient (FS) lost. The 5- and 10-year freedom from aortic valve and/or aortic root related reoperation was 98 +- 2% and 96 +- 3% in the DV group and 92 +- 5% and 84 +- 9% in the FS group, respectively (P = 0.095). The 5- and 10-year freedom from aortic regurgitation &gt;_moderate was 88 +- 5% and 80 +- 8% in the DV group and 92 +- 5% and 78 +- 1% in the FS group, respectively (P = 0.782). The 5- and 10-year survival rates were 93 +- 4% and 82 +- 6% (DV) vs 75 +- 7% and 67 +- 10% (FS), respectively (P = 0.058). No case of endocarditis (DV) and 3 cases of endocarditis (FS) (P = 0.055) were observed during follow-up. CONCLUSIONS: Both DV and FS resulted in similar early and longer-term outcomes with a trend to slightly better performance and survival in the DV group. Florida sleeve procedure might be an alternative approach for patients with higher-risk profiles requiring valvesparing aortic root replacement.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Journal of Cardio-Thoracic Surgery

ISSN

1010-7940

e-ISSN

1873-734X

Svazek periodika

62

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

8

Strana od-do

ezac104

Kód UT WoS článku

000761596800001

EID výsledku v databázi Scopus

2-s2.0-85138459270