Best Practices of Aortic Valve Replacement With the Edwards Intuity Elite Valve

被引：8

作者：

Malaisrie, S. Chris ^{[1
]}

Mumtaz, Mubashir A. ^{[2
]}

DiGiorgi, Paul L. ^{[3
]}

Hoffberger, Jonathan D. ^{[4
]}

Slachman, Frank N. ^{[5
]}

Grosner, Gary ^{[6
]}

Herskowitz, Kenneth ^{[7
]}

Segurola, Romualdo J., Jr. ^{[8
]}

Accola, Kevin D. ^{[9
]}

Davies, James E. ^{[10
]}

机构：

[1] Northwestern Univ, Div Cardiac Surg, Northwestern Med, 201 E Huron St, Chicago, IL 60611 USA

[2] UPMC Pinnacle Hlth, Dept Cardiovasc & Thorac Surg, Harrisburg, PA USA

[3] Lee Mem Hlth Syst, Shipley Cardiothorac Ctr, Ft Myers, FL USA

[4] Sarasota Mem Hosp, Dept Cardiothorac Surg, Sarasota, FL USA

[5] Mercy Gen Hosp, Dept Surg, Dign Hlth, Sacramento, CA USA

[6] Gates Vasc Inst, Dept Cardiac Surg, Buffalo, NY USA

[7] Broward Hlth Med Ctr, Div Cardiac Surg, Ft Lauderdale, FL USA

[8] Jackson Mem Hosp, Jackson Heart Surg Inst, Dept Cardiac Surg, Doral, FL USA

[9] AdventHlth Orlando Cardiovasc Inst, Dept Thorac Cardiovasc Surg, Orlando, FL USA

[10] Univ Alabama Birmingham, Dept Surg, Birmingham, AL 35294 USA

来源：

ANNALS OF THORACIC SURGERY | 2020年 / 109卷 / 04期

关键词：

RAPID DEPLOYMENT;

D O I：

10.1016/j.athoracsur.2019.10.042

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose. The Edwards Intuity Elite (EIE; Edwards Lifesciences, Irvine, CA) valve system is a recent surgical aortic valve designed to expedite implantation, facilitate minimally invasive approaches, and provide low gradients, particularly in smaller valve sizes. The report reviews various best practices learned through experience with the EIE valve system. Description. With its sealing frame designed to anchor and seal the valve after resection of the diseased native aortic valve, EIE use differs from that of conventional sutured valves. Evaluation. Critical technical aspects include patient selection, aortotomy and debridement, valve sizing, guiding suture technique and valve seating and deployment. In addition, special anatomic and pathologic conditions are considered, as well as intraoperative transesophageal echocardiography and postimplantation cardiac rhythm monitoring. Conclusions. These best practices simplify and standardize the use of the EIE valve system and may benefit surgeons adopting this valve. (C) 2020 by The Society of Thoracic Surgeons

引用

页码：1289 / 1293

页数：5

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