Essential information on surgical heart valve characteristics for optimal valve prosthesis selection: expert consensus document from the European Association for Cardio-Thoracic Surgery (EACTS)-The Society of Thoracic Surgeons (STS)-American Association for Thoracic Surgery (AATS) Valve Labelling Task Force

被引:18
作者
Durko, Andras P. [1 ]
Pibarot, Philippe [2 ]
Atluri, Pavan [3 ]
Bapat, Vinayak [4 ]
Cameron, Duke E. [5 ]
Casselman, Filip P. A. [6 ]
Chen, Edward P. [7 ]
Dahle, Gry [8 ]
Elefteriades, John A. [9 ]
Lancellotti, Patrizio [10 ]
Prager, Richard L. [11 ]
Rosenhek, Raphael [12 ]
Speir, Alan [13 ]
Stijnen, Marco [14 ]
Tasca, Giordano [15 ]
Yoganathan, Ajit [16 ]
Walther, Thomas [17 ,18 ]
De Paulis, Ruggero [19 ]
机构
[1] Erasmus MC, Dept Cardiothorac Surg, Rotterdam, Netherlands
[2] Laval Univ, Quebec Heart & Lung Inst, Quebec City, PQ, Canada
[3] Univ Penn, Dept Surg, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
[4] Columbia Univ, Dept Cardiovasc Surg, New York Presbyterian, Med Ctr, New York, NY USA
[5] Massachusetts Gen Hosp, Dept Surg, Div Cardiac Surg, Boston, MA 02114 USA
[6] OLV Clin, Dept Cardiovasc & Thorac Surg, Aalst, Belgium
[7] Emory Univ, Div Cardiothorac Surg, Dept Surg, Sch Med, Atlanta, GA 30322 USA
[8] Oslo Univ Hosp, Rikshosp, Dept Cardiothorac & Thorac Surg, Oslo, Norway
[9] Yale Univ, Dept Cardiothorac Surg, Sch Med, New Haven, CT USA
[10] Univ Liege Hosp, Dept Cardiol, GIGA Cardiovasc Sci, Liege, Belgium
[11] Univ Michigan Hosp, Dept Cardiac Surg, Ann Arbor, MI 48109 USA
[12] Med Univ Vienna, Dept Cardiol, Vienna, Austria
[13] Inova Heart & Vasc Inst, Dept Cardiac Surg, Falls Church, VA USA
[14] LifeTec Grp, Eindhoven, Netherlands
[15] King Saud Med City, Cardiac Surg Unit, Heart Hlth Ctr, Riyadh, Saudi Arabia
[16] Georgia Inst Technol, Wallace H Coulter Dept Biomed Engn, Emory Sch Med, Atlanta, GA 30332 USA
[17] Univ Hosp Frankfurt, Dept Thorac & Cardiovasc Surg, Frankfurt, Germany
[18] Goethe Univ Frankfurt, Frankfurt, Germany
[19] European Hosp, Heart Surg Div, Via Portuense 700, I-00149 Rome, Italy
关键词
Labeling; lSO; Prosthesis-patient mismatch; PPM; Prosthetic heart valve; PHV; Regulation;
D O I
10.1093/ejcts/ezaa263
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Comprehensive information on the characteristics of surgical heart valves (SHVs) is essential for optimal valve selection. Such information is also important in assessing SHV function after valve replacement. Despite the existing regulatory framework for SHV sizing and labelling, this information is challenging to obtain in a uniform manner for various SHVs. To ensure that clinicians are adequately informed, the European Association for Cardio-Thoracic Surgery (EACTS), The Society of Thoracic Surgeons (STS) and American Association for Thoracic Surgery (AATS) set up a Task Force comprised of cardiac surgeons, cardiologists, engineers, regulatory bodies, representatives of the International Organization for Standardization and major valve manufacturers. Previously, the EACTS-STS-AATS Valve Labelling Task Force identified the most important problems around SHV sizing and labelling. This Expert Consensus Document formulates recommendations for providing SHV physical dimensions, intended implant position and haemodynamic performance in a transparent, uniform manner. Furthermore, the Task Force advocates for the introduction and use of a standardized chart to assess the probability of prosthesis-patient mismatch and calls valve manufacturers to provide essential information required for SHV choice on standardized Valve Charts, uniformly for all SHV models.
引用
收藏
页码:54 / 64
页数:11
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