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Title: | Aortic Valve Replacement: Totally Endoscopic versus Mini-Sternotomy | Authors: | Yilmaz, Alaaddin CLAESSENS, Jade PACKLE, Loren Van Genechten, Silke Donmez, Kuebra Awouters, Camille HERBOTS, Lieven |
Issue Date: | 2023 | Publisher: | MDPI | Source: | Journal of Clinical Medicine, 12 (23) (Art N° 7300) | Abstract: | (1) Background: The development of totally endoscopic aortic valve replacement has the potential to enhance clinical results compared to mini-sternotomy. To our knowledge, no comparison between these two techniques has been conducted before. Therefore, the objective of this retrospective study is to examine the results after both totally endoscopic and mini-sternotomy approaches. (2) Methods: This study covered all elective patients who underwent isolated aortic valve replacement, either totally endoscopically (n = 392) or through a mini-sternotomy (n = 323), between 2013 and 2021. Multivariable analysis was used to account for baseline variations between the two groups. All data were retrospectively gathered and analysed. The primary objective of this study was the one-year mortality rate. (3) Results: The mean aortic cross-clamping and cardiopulmonary bypass times were significantly longer in the totally endoscopic approach (cross-clamping: 43.73 +/- 13.71 min and 61.93 +/- 16.76 min, p-value < 0.001; CPB time: 64.86 +/- 23.02 min and 93.23 +/- 23.67 min, p-value < 0.001). However, perioperative bleeding was lower (706.40 +/- 542.77 mL and 444.50 +/- 515.84 mL, p-value < 0.001). The primary objective, one-year survival, did not significantly differ between both groups (Mini-AVR: 94.5% vs TEAVR: 93.3%, p-value = 0.520). (4) Conclusions: Our results show that totally endoscopic aortic valve replacement has comparable clinical results compared to aortic valve replacement through mini-sternotomy. | Notes: | Claessens, J (corresponding author), Jessa Hosp, Dept Cardiothorac Surg, Stadsomvaart 11, B-3500 Hasselt, Belgium.; Claessens, J (corresponding author), Univ Hasselt, Dept Med & Life Sci, Martelarenlaan 42, B-3500 Hasselt, Belgium. alaaddin.yilmaz@jessazh.be; jade.claessens@uhasselt.be; loren.packle@jessazh.be; silke.vangenechten@jessazh.be; kubra.donmez@student.uhasselt.be; camille.awouters@jessazh.be; lieven.herbots@jessazh.be |
Keywords: | minimally invasive cardiac surgery;aortic valve replacement;mini-sternotomy;totally endoscopic surgery | Document URI: | http://hdl.handle.net/1942/41986 | e-ISSN: | 2077-0383 | DOI: | 10.3390/jcm12237300 | ISI #: | 001119015400001 | Rights: | 2023 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 (https:// creativecommons.org/licenses/by/ 4.0/). | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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Aortic Valve Replacement_ Totally Endoscopic versus Mini-Sternotomy.pdf | Published version | 1.11 MB | Adobe PDF | View/Open |
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