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„Sutureless valves“ – Dichtung und Wahrheit

Sutureless valves – Fact and fiction

  • Evidenzbasierte Medizin
  • Published:
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

„Sutureless“- bzw. „Rapid-deployment“-Aortenklappen sind eine wertvolle Bereicherung des herzchirurgischen Armamentariums. Die ersten klinischen Ergebnisse sind vielversprechend, bedürfen aber noch der weiteren Validierung mit größeren Zahlen in gut designten Studien in den nächsten Jahren. Sie erlauben im Rahmen der interdisziplinären Heart-Team-Besprechungen für Patienten mit Grenzindikationen, einen „dritten Weg“ abseits von Transkatheter-Aortenklappenimplantation und konventionellem Klappenersatz einzuschlagen. Dies allerdings vorzugsweise über echte minimalinvasive Zugänge, um bei reduzierter operativer Last dennoch die Vorzüge der sorgfältigen Entkalkung und der sicheren chirurgischen Implantation mit bewährten biologischen Substituten und gesicherter Langzeitfunktion anbieten zu können.

Abstract

Sutureless or rapid deployment valves have emerged as valuable supplements to the cardiac surgery portfolio. The first clinical results are promising but require validation within the coming years with larger numbers of patients enrolled in adequately designed studies. Within the heart team approach they enable patients with borderline indications for one or the other measure, a third option aside from transcatheter aortic valve implantation (TAVI) and conventional aortic valve replacement. This, however, is preferably carried out in combination with a truly minimally invasive approach in order to be able to provide implantation of a reliable biological valve with proven long-term patency and to reduce the procedural burden for the patient while utilizing the advantages of a thorough decalcification.

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Notes

  1. Kallenbach K; persönl. Mitteilung, Juni 2017

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Authors and Affiliations

  1. Herzchirurgie, Immanuel Klinikum Bernau Herzzentrum Brandenburg, Hochschulklinikum der Medizinischen Hochschule Brandenburg, Ladeburger Str. 17, 16321, Bernau, Deutschland

    J. M. Albes MBA

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J.M. Albes gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine vom Autor durchgeführten Studien an Menschen oder Tieren.

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Albes, J.M. „Sutureless valves“ – Dichtung und Wahrheit. Z Herz- Thorax- Gefäßchir 31, 333–339 (2017). https://doi.org/10.1007/s00398-017-0169-7

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  • DOI: https://doi.org/10.1007/s00398-017-0169-7

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