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Perceval or Trifecta to Prevent Patient–Prosthesis Mismatch

The Trifecta aortic valve has excellent hemodynamics characteristics. Moreover, the Perceval prosthesis may achieve better hemodynamics than the conventional valves; therefore, it has been proposed to reduce the incidence of patient–prosthesis mismatch. Our aim was to compare the prevalence of this...

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Autores principales: Hernandez-Vaquero, Daniel, Vigil-Escalera, Carlota, Persia, Yvan, Morales, Carlos, Pascual, Isaac, Domínguez-Rodríguez, Alberto, Rodríguez-Caulo, Emiliano, Carnero, Manuel, Díaz, Rocío, Avanzas, Pablo, Moris, Cesar, Silva, Jacobo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7563879/
https://www.ncbi.nlm.nih.gov/pubmed/32937912
http://dx.doi.org/10.3390/jcm9092964
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author Hernandez-Vaquero, Daniel
Vigil-Escalera, Carlota
Persia, Yvan
Morales, Carlos
Pascual, Isaac
Domínguez-Rodríguez, Alberto
Rodríguez-Caulo, Emiliano
Carnero, Manuel
Díaz, Rocío
Avanzas, Pablo
Moris, Cesar
Silva, Jacobo
author_facet Hernandez-Vaquero, Daniel
Vigil-Escalera, Carlota
Persia, Yvan
Morales, Carlos
Pascual, Isaac
Domínguez-Rodríguez, Alberto
Rodríguez-Caulo, Emiliano
Carnero, Manuel
Díaz, Rocío
Avanzas, Pablo
Moris, Cesar
Silva, Jacobo
author_sort Hernandez-Vaquero, Daniel
collection PubMed
description The Trifecta aortic valve has excellent hemodynamics characteristics. Moreover, the Perceval prosthesis may achieve better hemodynamics than the conventional valves; therefore, it has been proposed to reduce the incidence of patient–prosthesis mismatch. Our aim was to compare the prevalence of this complication between both prostheses. All patients who underwent valve replacement with a Perceval or a Trifecta from 2016 to 2020 at our institution were included. We calculated the prevalence of patient–prosthesis mismatch for each prosthesis and size and performed a multinomial logistic regression model to investigate the impact of choosing one prosthesis over the other. A total of 516 patients were analyzed. Moderate mismatch was present in 33 (8.6%) in the Trifecta group and 28 (21.4%) in the Perceval group, p < 0.001. Severe mismatch was present in 8 (2.1%) patients with Trifecta and 5 (3.8%) patients with Perceval, p = 0.33. Compared with the Perceval, the Trifecta prosthesis was shown to reduce moderate patient–prosthesis mismatch: OR = 0.5 (95% CI 0.3–0.9, p = 0.02). Both prostheses led to a similar risk of severe patient–prosthesis mismatch: OR = 0.9 (95% CI 0.3–2.8, p = 0.79). Both prostheses provide a very low risk of severe patient–prosthesis mismatch. Compared with the Perceval prothesis, the Trifecta prosthesis is able to reduce by 50% the risk of moderate mismatch.
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spelling pubmed-75638792020-10-27 Perceval or Trifecta to Prevent Patient–Prosthesis Mismatch Hernandez-Vaquero, Daniel Vigil-Escalera, Carlota Persia, Yvan Morales, Carlos Pascual, Isaac Domínguez-Rodríguez, Alberto Rodríguez-Caulo, Emiliano Carnero, Manuel Díaz, Rocío Avanzas, Pablo Moris, Cesar Silva, Jacobo J Clin Med Article The Trifecta aortic valve has excellent hemodynamics characteristics. Moreover, the Perceval prosthesis may achieve better hemodynamics than the conventional valves; therefore, it has been proposed to reduce the incidence of patient–prosthesis mismatch. Our aim was to compare the prevalence of this complication between both prostheses. All patients who underwent valve replacement with a Perceval or a Trifecta from 2016 to 2020 at our institution were included. We calculated the prevalence of patient–prosthesis mismatch for each prosthesis and size and performed a multinomial logistic regression model to investigate the impact of choosing one prosthesis over the other. A total of 516 patients were analyzed. Moderate mismatch was present in 33 (8.6%) in the Trifecta group and 28 (21.4%) in the Perceval group, p < 0.001. Severe mismatch was present in 8 (2.1%) patients with Trifecta and 5 (3.8%) patients with Perceval, p = 0.33. Compared with the Perceval, the Trifecta prosthesis was shown to reduce moderate patient–prosthesis mismatch: OR = 0.5 (95% CI 0.3–0.9, p = 0.02). Both prostheses led to a similar risk of severe patient–prosthesis mismatch: OR = 0.9 (95% CI 0.3–2.8, p = 0.79). Both prostheses provide a very low risk of severe patient–prosthesis mismatch. Compared with the Perceval prothesis, the Trifecta prosthesis is able to reduce by 50% the risk of moderate mismatch. MDPI 2020-09-14 /pmc/articles/PMC7563879/ /pubmed/32937912 http://dx.doi.org/10.3390/jcm9092964 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hernandez-Vaquero, Daniel
Vigil-Escalera, Carlota
Persia, Yvan
Morales, Carlos
Pascual, Isaac
Domínguez-Rodríguez, Alberto
Rodríguez-Caulo, Emiliano
Carnero, Manuel
Díaz, Rocío
Avanzas, Pablo
Moris, Cesar
Silva, Jacobo
Perceval or Trifecta to Prevent Patient–Prosthesis Mismatch
title Perceval or Trifecta to Prevent Patient–Prosthesis Mismatch
title_full Perceval or Trifecta to Prevent Patient–Prosthesis Mismatch
title_fullStr Perceval or Trifecta to Prevent Patient–Prosthesis Mismatch
title_full_unstemmed Perceval or Trifecta to Prevent Patient–Prosthesis Mismatch
title_short Perceval or Trifecta to Prevent Patient–Prosthesis Mismatch
title_sort perceval or trifecta to prevent patient–prosthesis mismatch
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7563879/
https://www.ncbi.nlm.nih.gov/pubmed/32937912
http://dx.doi.org/10.3390/jcm9092964
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