Antegrade and retrograde arterial perfusion strategy in minimally invasive mitral-valve surgery: a propensity score analysis on 1280 patients
نویسندگان
چکیده
منابع مشابه
Antegrade and retrograde arterial perfusion strategy in minimally invasive mitral-valve surgery: a propensity score analysis on 1280 patients.
OBJECTIVES Recent studies have suggested an increased risk of stroke in patients undergoing minimally invasive mitral-valve surgery with retrograde perfusion when compared with antegrade perfusion. The aim of the present study was therefore to evaluate the impact on early outcome of retrograde arterial perfusion (RAP) strategy vs antegrade arterial perfusion strategy in a consecutive large coho...
متن کاملMinimally invasive mitral valve surgery.
Ann Cardiothorac Surg 2013;2(6):857 www.annalscts.com Background The mitral valve controls the direction and flow of blood through the left chambers of the heart. If the valve becomes too hard (calcified) and too narrow (stenosis), flow will be reduced; if the valve becomes too loose, flow might travel backwards (regurgitation). Abnormal blood flow will force the heart to work harder, eventuall...
متن کاملRetrograde femoral arterial perfusion and stroke risk during minimally invasive mitral valve surgery: is there cause for concern?
Recent data have suggested that retrograde arterial perfusion (RAP) during minimally invasive mitral valve surgery (MIMVS) is associated with a higher stroke rate than sternotomy approaches. To assess whether there is genuine cause for concern, we examine the strengths and weaknesses of this data. A multitude of confounding factors obfuscate interpretation of the data including imprecise defini...
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Methods Our strategy for CPB management for MICS was as below: we evaluated atherosclerotic lesions in MICS candidates with CT examination in order to investigate condition of inner cavity of the aorta or arteries, especially the presence of intramural thrombus. In cases of no lesion of possible arteriosclerosis, we selected peripheral perfusion. Otherwise, we used central arterial perfusion wi...
متن کاملPropensity score-matched analysis of minimally invasive aortic valve replacement.
BACKGROUND Right mini-thoracotomy and partial sternotomy are widely recognized as effective approaches in minimally invasive aortic valve replacement (AVR). The aim of this study was to evaluate the objective benefits of the respective approaches compared to the conventional approach. METHODS AND RESULTS: A retrospective analysis was performed in 282 consecutive patients who underwent isolated ...
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ژورنال
عنوان ژورنال: European Journal of Cardio-Thoracic Surgery
سال: 2013
ISSN: 1010-7940,1873-734X
DOI: 10.1093/ejcts/ezt043