A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Trifecta Versus Perimount Magna Ease Aortic Valve Prostheses
Tekijät: Biancari F, Valtola A, Juvonen T, Husso A, Dahlbacka S, Laakso T, Jalava MP, Tauriainen T, Ahvenvaara T, Kinnunen EM, Niemela M, Mäkikallio T, Eskola M, Virtanen MPO, Maaranen P, Rosato S, Anttila V, Vento A, Airaksinen J, Raivio P
Kustantaja: ELSEVIER SCIENCE INC
Julkaisuvuosi: 2020
Journal: Annals of Thoracic Surgery
Tietokannassa oleva lehden nimi: ANNALS OF THORACIC SURGERY
Lehden akronyymi: ANN THORAC SURG
Vuosikerta: 110
Numero: 3
Aloitussivu: 879
Lopetussivu: 888
Sivujen määrä: 10
ISSN: 0003-4975
eISSN: 1552-6259
DOI: https://doi.org/10.1016/j.athoracsur.2019.12.071
Tiivistelmä
Background. Recent surgical bovine pericardial prostheses are widely used despite limited data on their long-term durability.Methods. This is a comparative analysis of the outcome of the Trifecta (Abbott, Abbott Park, IL) and Perimount Magna Ease (Edwards, Lifesciences Corp, Irvine, CA) bioprostheses from the FinnValve registry, a Finnish nationwide database including patients with aortic stenosis who underwent transcatheter or surgical aortic valve replacement with a bioprosthesis between 2008 and 2017.Results. Overall 2216 patients (mean age, 74.1 +/- 6.7 years; age <65 years, 8.9%; mean follow-up, 3.8 +/- 2.1 years) received the Trifecta (851 patients) or the Perimount Magna Ease (1365 patients) bioprostheses. The rates of late mortality and prosthetic valve endocarditis were comparable in the study cohorts. At 7 years the Trifecta cohort had a significantly higher risk of repeat aortic valve replacement for structural valve failure (3.3% vs 0%; adjusted subdistribution hazard ratio, 2.224; 95% confidence interval, 1.044-4.737), repeat aortic valve replacement for any cause (3.6% vs 0.4%; adjusted subdistribution hazard ratio, 3.210; 95% confidence interval, 1.286-8.013), and repeat aortic valve replacement and/or prosthetic valve endocarditis (4.1% vs 0.9%; adjusted subdistribution hazard ratio, 3.210; 95% confidence interval, 1.286-8.013) compared with the Perimount Magna Ease cohort. Among 772 propensity score-matched pairs, at 7 years the Trifecta cohort had a higher risk of repeat aortic valve replacement for structural valve failure (5.7% vs 0%, P = .009).Conclusions. The Trifecta aortic bioprosthesis is associated with a higher occurrence of repeat aortic valve replacement for structural valve failure compared with the Perimount Magna Ease bioprosthesis. Further comparative studies with echocardiographic data on structural valve deterioration and longer follow-up are needed to confirm these findings. (C) 2020 by The Society of Thoracic Surgeons.
Background. Recent surgical bovine pericardial prostheses are widely used despite limited data on their long-term durability.Methods. This is a comparative analysis of the outcome of the Trifecta (Abbott, Abbott Park, IL) and Perimount Magna Ease (Edwards, Lifesciences Corp, Irvine, CA) bioprostheses from the FinnValve registry, a Finnish nationwide database including patients with aortic stenosis who underwent transcatheter or surgical aortic valve replacement with a bioprosthesis between 2008 and 2017.Results. Overall 2216 patients (mean age, 74.1 +/- 6.7 years; age <65 years, 8.9%; mean follow-up, 3.8 +/- 2.1 years) received the Trifecta (851 patients) or the Perimount Magna Ease (1365 patients) bioprostheses. The rates of late mortality and prosthetic valve endocarditis were comparable in the study cohorts. At 7 years the Trifecta cohort had a significantly higher risk of repeat aortic valve replacement for structural valve failure (3.3% vs 0%; adjusted subdistribution hazard ratio, 2.224; 95% confidence interval, 1.044-4.737), repeat aortic valve replacement for any cause (3.6% vs 0.4%; adjusted subdistribution hazard ratio, 3.210; 95% confidence interval, 1.286-8.013), and repeat aortic valve replacement and/or prosthetic valve endocarditis (4.1% vs 0.9%; adjusted subdistribution hazard ratio, 3.210; 95% confidence interval, 1.286-8.013) compared with the Perimount Magna Ease cohort. Among 772 propensity score-matched pairs, at 7 years the Trifecta cohort had a higher risk of repeat aortic valve replacement for structural valve failure (5.7% vs 0%, P = .009).Conclusions. The Trifecta aortic bioprosthesis is associated with a higher occurrence of repeat aortic valve replacement for structural valve failure compared with the Perimount Magna Ease bioprosthesis. Further comparative studies with echocardiographic data on structural valve deterioration and longer follow-up are needed to confirm these findings. (C) 2020 by The Society of Thoracic Surgeons.
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