Transcatheter melody valve placement in large diameter bioprostheses and conduits: What is the optimal "Landing zone"?

作者: Will Finch , Daniel S. Levi , Morris Salem , Abbie Hageman , Jamil Aboulhosn

DOI: 10.1002/CCD.25922

关键词:

摘要: Objectives This study sought to elucidate the optimal bioprosthetic valve (BPV) size prior Melody implantation. Background: BPVs provide an ideal “landing zone” for future insertion. To guide surgical choice of BPV size, it is important understand which can serve consistently as substrates placements. Methods A database all patients who underwent implantation at UCLA or Kaiser Permanente Los Angeles from 2010 2014 was analyzed retrospectively. Patients with existing were stratified into those a diameter ≥27 mm <27 mm. Results One hundred and sixty catheterization intention implant valve. performed in pulmonary position 52 BPVs. The immediate procedural success rate 100%. Immediately post-Melody, right ventricular artery gradient significantly higher group compared (14.3 ± 3 vs. 8.6 ± 6.8, P = 0.006). There shorter time replacement group. one patient whom transcatheter aborted due inadequate landing zone group, no (P = NS). Conclusions The results this indicate that 27 29 superior excellent intermediate term hemodynamic when smaller less than mm. © 2015 Wiley Periodicals, Inc.

参考文章(13)
Sharon L. Cheatham, Ralf J. Holzer, Joanne L. Chisolm, John P. Cheatham, The medtronic melody® transcatheter pulmonary valve implanted at 24-mm diameter-it works Catheterization and Cardiovascular Interventions. ,vol. 82, pp. 816- 823 ,(2013) , 10.1002/CCD.24821
Matthew J. Gillespie, Jonathan J. Rome, Daniel S. Levi, Ryan J. Williams, John F. Rhodes, John P. Cheatham, William E. Hellenbrand, Thomas K. Jones, Julie A. Vincent, Evan M. Zahn, Doff B. McElhinney, Melody Valve Implant Within Failed Bioprosthetic Valves in the Pulmonary Position Circulation: Cardiovascular Interventions. ,vol. 5, pp. 862- 870 ,(2012) , 10.1161/CIRCINTERVENTIONS.112.972216
Michael K Banbury, Delos M Cosgrove, Jennifer A White, Eugene H Blackstone, Robert W M. Frater, J.Edward Okies, Age and valve size effect on the long-term durability of the Carpentier-Edwards aortic pericardial bioprosthesis The Annals of Thoracic Surgery. ,vol. 72, pp. 753- 757 ,(2001) , 10.1016/S0003-4975(01)02992-7
Jean Perron, Adrian M Moran, Kimberlee Gauvreau, Pedro J del Nido, John E Mayer, Richard A Jonas, Valved homograft conduit repair of the right heart in early infancy The Annals of Thoracic Surgery. ,vol. 68, pp. 542- 548 ,(1999) , 10.1016/S0003-4975(99)00614-1
Ko Bando, Gordon K. Danielson, Hartzell V. Schaff, Douglas D. Mair, Paul R. Julsrud, Francisco J. Puga, OUTCOME OF PULMONARY AND AORTIC HOMOGRAFTS FOR RIGHT VENTRICULAR OUTFLOW TRACT RECONSTRUCTION The Journal of Thoracic and Cardiovascular Surgery. ,vol. 109, pp. 509- 518 ,(1995) , 10.1016/S0022-5223(95)70282-2
Philipp Bonhoeffer, Younes Boudjemline, Zakhia Saliba, Jacques Merckx, Yacine Aggoun, Damien Bonnet, Philippe Acar, Jérôme Le Bidois, Daniel Sidi, Jean Kachaner, Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction The Lancet. ,vol. 356, pp. 1403- 1405 ,(2000) , 10.1016/S0140-6736(00)02844-0
Sachin Khambadkone, Louise Coats, Andrew Taylor, Younes Boudjemline, Graham Derrick, Victor Tsang, Jeffrey Cooper, Vivek Muthurangu, Sanjeet R. Hegde, Reza S. Razavi, Denis Pellerin, John Deanfield, Philipp Bonhoeffer, Percutaneous Pulmonary Valve Implantation in Humans Results in 59 Consecutive Patients Circulation. ,vol. 112, pp. 1189- 1197 ,(2005) , 10.1161/CIRCULATIONAHA.104.523266
Derize E. Boshoff, Bjorn L.M. Cools, Ruth Heying, Els Troost, Joelle Kefer, Werner Budts, Marc Gewillig, Off-Label Use of Percutaneous Pulmonary Valved Stents in the Right Ventricular Outflow Tract: Time to Rewrite the Label? Catheterization and Cardiovascular Interventions. ,vol. 81, pp. 987- 995 ,(2013) , 10.1002/CCD.24594
Isabella Spadoni, Luciane Piazza, Andrea Donti, Christian Ricci, Gabriella Agnoletti, Alberta Pangrazi, Massimo Chessa, Mario Carminati, Gianfranco Butera, Ornella Milanesi, Melody transcatheter pulmonary valve implantation. Results from the registry of the Italian Society of Pediatric Cardiology. Catheterization and Cardiovascular Interventions. ,vol. 81, pp. 310- 316 ,(2013) , 10.1002/CCD.24518