Bioprosthetic Aortic Valve Durability: A Meta-Regression of Published Studies

被引:51
作者
Wang, Mansen [1 ]
Furnary, Anthony P.
Li, Hsin-Fang
Grunkemeier, Gary L.
机构
[1] Providence Hlth & Serv, Med Data Res Ctr, 9205 SW Barnes Rd,Ste LL 33, Portland, OR 97225 USA
关键词
MITROFLOW PERICARDIAL BIOPROSTHESIS; LONG-TERM DURABILITY; STANDARD PORCINE BIOPROSTHESIS; HANCOCK II BIOPROSTHESIS; CARPENTIER-EDWARDS-SAV; 20-YEAR FOLLOW-UP; CLINICAL-PERFORMANCE; REPLACEMENT; OUTCOMES; EXPERIENCE;
D O I
10.1016/j.athoracsur.2017.02.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To compare structural valve deterioration (SVD) among bioprosthetic aortic valve types, a PubMed search found 54 papers containing SVD-free curves extending to at least 10 years. The curves were digitized and fit to Weibull distributions, and the mean times to valve failure (MTTF) were calculated. Twelve valve models were collapsed into four valve types: Medtronic (Medtronic, Minneapolis, MN) and Edwards (Edwards Lifesciences, Irvine, CA) porcine; and Sorin (Sorin Group [now LivaNova], London, United Kingdom) and Edwards pericardial. Meta-regression found MTTF was associated with the patient's age, publication year, SVD definition, and valve type. Sorin pericardial valves had significantly lower risk-adjusted MTTF (higher SVD risk), and there were no significant differences in MTTF among the other three valve types. (C) 2017 by The Society of Thoracic Surgeons
引用
收藏
页码:1080 / 1087
页数:8
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