Can prosthesis type influence the recurrence of infective endocarditis after surgery for native valve endocarditis? A propensity weighted comparison
被引:5
作者:
Rubino, Antonino S.
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Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
Papardo Hosp, Cardiothoracovasc Dept, Cardiac Surg Unit, Messina, ItalyUniv Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
Rubino, Antonino S.
[1
,2
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Della Ratta, Ester E.
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Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, ItalyUniv Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
Della Ratta, Ester E.
[1
]
Galbiati, Denise
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Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, ItalyUniv Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
Galbiati, Denise
[1
]
Ashurov, Rasul
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Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, ItalyUniv Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
Ashurov, Rasul
[1
]
Galgano, Viviana L.
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Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, ItalyUniv Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
Galgano, Viviana L.
[1
]
Montella, Antonio P.
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Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, ItalyUniv Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
Montella, Antonio P.
[1
]
De Feo, Marisa
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Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, ItalyUniv Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
De Feo, Marisa
[1
]
Della Corte, Alessandro
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Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, ItalyUniv Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
Della Corte, Alessandro
[1
]
机构:
[1] Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Div Cardiac Surg, Via Leonardo Bianchi, I-80131 Naples, Italy
[2] Papardo Hosp, Cardiothoracovasc Dept, Cardiac Surg Unit, Messina, Italy
OBJECTIVES: Our goal was to investigate whether the incidence of valve-related adverse events might be different depending on the valve substitute after valve replacement for left-sided native valve endocarditis. METHODS: We assessed the long-term freedom from recurrence, reoperation and survival of 395 patients who had valve replacements for native valve endocarditis (314 mechanical vs 81 biological). Age <18 years, reoperation, prosthetic endocarditis, right valve involvement, valve repair and homograft implants were the main exclusion criteria. The balance between the 2 groups was addressed by weighting the results on the inverse of the propensity score. RESULTS: After inverse probability of treatment weighting (IPTW), freedom from recurrence of infective endocarditis was not significantly different (mechanical 84.1 +/- 3.2% vs 50.6 +/- 21.7%; P = 0.29) nor was freedom from reoperation different (mechanical 85.7 +/- 3.1% vs biological 50.9 +/- 21.9%; P = 0.29). Excluding competing deaths, patients receiving a bioprosthesis had a similar subdistribution hazard of the above end points compared to recipients of a mechanical valve [recurrence IPTW: hazard ratio (HR) 1.631, 95% confidence interval (CI) 0.756-3.516; P = 0.21; reoperation IPTW-HR 1.737, 95% CI 0.780-3.870; P = 0.18]. Mechanical valves were associated with improved long-term survival (34.9 +/- 5.8% vs 10.5 +/- 7.4% at 30 years; P = 0.0009; in particular: aortic valve subgroup 41.6 +/- 9.3% vs 10.1 +/- 8.2%; P < 0.0001), although the hazard of cardiovascular mortality did not favour either valve type (IPTW: HR 1.361, 95% CI 0.771-2.404; P = 0.29). CONCLUSIONS: Our analysis showed a clinical trend in favour of mechanical valves as valve substitutes for native valve endocarditis, especially in the aortic position. In view of long-term freedom from adverse events, the choice of the valve type should be tailored according to patient characteristics and specific clinical conditions.
机构:
Karolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Stockholm South Gen Hosp, Dept Cardiol, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Glaser, Natalie
Jackson, Veronica
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Karolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Karolinska Univ Hosp, Dept Cardiothorac Surg, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Jackson, Veronica
Holzmann, Martin J.
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Karolinska Inst, Dept Internal Med, Stockholm, Sweden
Karolinska Univ Hosp, Dept Emergency Med, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Holzmann, Martin J.
Franco-Cereceda, Anders
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Karolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Karolinska Univ Hosp, Dept Cardiothorac Surg, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Franco-Cereceda, Anders
Sartipy, Ulrik
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Karolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Karolinska Univ Hosp, Dept Cardiothorac Surg, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
机构:
Univ Turku, Ctr Heart, Turku Univ Hosp, Turku, Finland
Univ Turku, Ctr Populat Hlth Res, Turku Univ Hosp, Turku, Finland
Univ Turku, Res Ctr Appl & Prevent Cardiovasc Med, Turku, FinlandUniv Turku, Ctr Heart, Turku Univ Hosp, Turku, Finland
Kyto, Ville
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Ahtela, Elina
Sipila, Jussi
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机构:
North Karelia Cent Hosp, Siun Sote, Joensuu, Finland
Univ Turku, Dept Neurol, Turku, FinlandUniv Turku, Ctr Heart, Turku Univ Hosp, Turku, Finland
Sipila, Jussi
Rautava, Paivi
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机构:
Univ Turku, Dept Publ Hlth, Turku, Finland
Turku Univ Hosp, Turku Clin Res Ctr, Turku, FinlandUniv Turku, Ctr Heart, Turku Univ Hosp, Turku, Finland
机构:
Karolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Stockholm South Gen Hosp, Dept Cardiol, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Glaser, Natalie
Jackson, Veronica
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Karolinska Univ Hosp, Dept Cardiothorac Surg, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Jackson, Veronica
Holzmann, Martin J.
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Internal Med, Stockholm, Sweden
Karolinska Univ Hosp, Dept Emergency Med, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Holzmann, Martin J.
Franco-Cereceda, Anders
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Karolinska Univ Hosp, Dept Cardiothorac Surg, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Franco-Cereceda, Anders
Sartipy, Ulrik
论文数: 0引用数: 0
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机构:
Karolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
Karolinska Univ Hosp, Dept Cardiothorac Surg, Stockholm, SwedenKarolinska Inst, Dept Mol Med & Surg, S-17177 Stockholm, Sweden
机构:
Univ Turku, Ctr Heart, Turku Univ Hosp, Turku, Finland
Univ Turku, Ctr Populat Hlth Res, Turku Univ Hosp, Turku, Finland
Univ Turku, Res Ctr Appl & Prevent Cardiovasc Med, Turku, FinlandUniv Turku, Ctr Heart, Turku Univ Hosp, Turku, Finland
Kyto, Ville
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机构:
Ahtela, Elina
Sipila, Jussi
论文数: 0引用数: 0
h-index: 0
机构:
North Karelia Cent Hosp, Siun Sote, Joensuu, Finland
Univ Turku, Dept Neurol, Turku, FinlandUniv Turku, Ctr Heart, Turku Univ Hosp, Turku, Finland
Sipila, Jussi
Rautava, Paivi
论文数: 0引用数: 0
h-index: 0
机构:
Univ Turku, Dept Publ Hlth, Turku, Finland
Turku Univ Hosp, Turku Clin Res Ctr, Turku, FinlandUniv Turku, Ctr Heart, Turku Univ Hosp, Turku, Finland