A running suture line for aortic valve replacement does not increase the rate of postoperative complete heart block

Sultan, Ibrahim; Dufendach, Keith; Kilic, Arman; Bianco, Valentino; Navid, Forozan; Gleason, Thomas G.

doi:10.1007/s11748-018-1011-1

Cited by 2 publications

(3 citation statements)

References 18 publications

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“…For pledgeted AVR, an interrupted non-everting mattress suture technique was used in all cases. For nonpledgeted AVR, either an interrupted technique with multiple non-everting sutures or a continuous suture technique was used, as described in prior studies [12]. The pledgeted suture technique was performed using multiple pledgeted 2-0 Ti-Cron™ (Covidien, Dublin, Ireland) sutures placed in a non-everting fashion.…”

Section: Operative Techniquesmentioning

confidence: 99%

Outcomes of Pledgeted versus Nonpledgeted Suture Technique for Isolated Aortic Valve Replacement

Yousef,

Bianco,

Brown

et al. 2024

HSF

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Objective: To compare outcomes of pledgeted versus nonplegdeted suture techniques for aortic valve replacement (AVR). Methods: This was a retrospective study utilizing an institutional database of AVRs performed at our center between 2010 and 2020. All patients who underwent isolated surgical AVR were included, while those who underwent concomitant procedures were excluded. Patients were dichotomized into those who underwent pledgeted vs. nonpledgeted AVR, and 1:1 propensity score matching (PSM) was employed. Clinical and echocardiographic outcomes were compared. Kaplan-Meier survival estimation and Cox regression were performed. Cumulative incidence functions were generated for all-cause readmissions and for heart-failure readmissions. Freedom from major adverse cardiac and cerebrovascular events (MACCE) were also analyzed and compared using Kaplan-Meier methods. Results: A total of 2240 patients were identified. PSM yielded 892 matched pairs. Mean gradient was significantly higher in the pledgeted group (p < 0.001), but patients in this group had a smaller median valve size implanted. There were no significant differences in paravalvular leak rates. Kaplan-Meier survival estimates, cumulative incidence of readmissions, and freedom from MACCE were not significantly different between groups. Conclusion: Long-term survival, readmission rates, and freedom from MACCE are comparable after pledgeted and nonpledgeted AVR. There were no differences in paravalvular leak rates between the two techniques.

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Section: Operative Techniquesmentioning

confidence: 99%

Outcomes of Pledgeted versus Nonpledgeted Suture Technique for Isolated Aortic Valve Replacement

Yousef,

Bianco,

Brown

et al. 2024

HSF

View full text Add to dashboard Cite

show abstract

“…Known predictors of postoperative PPM include valve surgery, with a several-fold increased risk in patients with double or triple valves, reoperative surgery, and increased patient age. 5,[12][13][14] The need for permanent postoperative pacing is often due to damage to the cardiac conduction system. There is difficulty in identifying which patients will need PPM following surgery, and ubiquitous indications for device implantation may be inconsistently followed.…”

Section: Perspectivementioning

confidence: 99%

mentioning

confidence: 99%

Permanent pacemaker placement following valve surgery is not independently associated with worse outcomes

et al. 2021

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A running suture line for aortic valve replacement does not increase the rate of postoperative complete heart block

Cited by 2 publications

References 18 publications

Outcomes of Pledgeted versus Nonpledgeted Suture Technique for Isolated Aortic Valve Replacement

Outcomes of Pledgeted versus Nonpledgeted Suture Technique for Isolated Aortic Valve Replacement

Permanent pacemaker placement following valve surgery is not independently associated with worse outcomes

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