SUTURELESS VALVE OUTCOMES IN ISOLATED AORTIC VALVE REPLACEMENT BY SURGICAL APPROACH FROM A PROSPECTIVE INTERNATIONAL REGISTRY

Marco Solinas,1 Max Baghai 2, Giuseppe Santarpino 3, Alistair Royse 4, Maximilian Scherner 5, Giovanni Troise 6, Giovanni Concistrè1, Mattia Glauber7

1 Fondazione Toscana Gabriele Monasterio, Massa, Italy; 2King's College Hospital NHS Foundation Trust, London, United Kingdom; 3Città di Lecce Hospital, GVM Care & Research, Lecce, Italy; 4The Royal Melbourne Hospital, Parkville, Australia; 5University of Magdeburg, Magdeburg, Germany; 6 Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy; 7Gruppo San Donato, Milano, Italy

OBJECTIVE

Sutureless valves have been in clinical use for more than 15 years.

Aim of this study is to report clinical and haemodynamic performance from a real-word registry in patients who underwent aortic valve replacement (AVR) with the Perceval sutureless bioprosthesis, comparing outcomes by surgical approaches.

METHODS

RESULTS

CONCLUSIONS

This registry represents the largest prospective real-world cohort of patients treated with the Perceval sutureless valve. Our propensity matched analysis demonstrates the non-inferiority of minimally invasive surgery with regards to hard endpoints, like mortality and stroke, and better outcomes for secondary endpoints as reduced length of intensive care and in-hospital stay.