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Durability of Bioprosthetic Aortic Valve Replacement in Patients Under the Age of 60 Years - 1-year Follow-up from the Prospective INDURE Registry

出版	Universität, 2023
URL	http://books.google.com.hk/books?id=B7hg0AEACAAJ&hl=&source=gbs_api

註釋Abstract: OBJECTIVES
We report 1-year safety and clinical outcomes in patients 60 years undergoing bioprosthetic surgical aortic valve intervention.brbrMETHODSbrThe INSPIRIS RESILIA Durability Registry is a prospective, multicentre registry to assess clinical outcomes of patients 60 years. Patients with planned SAVR with or without concomitant replacement of the ascending aorta and/or coronary bypass surgery were included. Time-related valve safety, haemodynamic performance and quality of life (QoL) at 1 year were assessed.brbrRESULTSbrA total of 421 patients were documented with a mean age of 53.5 years, 76.5% being male and 27.2% in NYHA class III/IV. Outcomes within 30 days included cardiovascular-related mortality (0.7%), time-related valve safety (VARC-2; 5.8%), thromboembolic events (1.7%), valve-related life-threatening bleeding (VARC-2; 4.3%) and permanent pacemaker implantation (3.8%). QoL was significantly increased at 6 months and sustained at 1 year. Freedom from all-cause mortality at 1 year was 98.3% (95% confidence interval 97.1; 99.6) and 81.8% were NYHA I versus 21.9% at baseline. No patient developed structural valve deterioration stage 3 (VARC-3). The mean aortic pressure gradient was 12.6 mmHg at 1 year and the effective orifice area was 1.9 cm2.br