A survey of cardiac surgeons to evaluate the use of sutureless aortic valve replacement in Canada.
Background: Sutureless aortic valve replacement (SuAVR) is gaining popularity for the treatment of aortic stenosis. We aimed to describe Canadian cardiac surgeons' practice patterns and perceptions regarding SuAVR.Methods: Content experts (clinicians and methodologists) developed the survey. Domains...
| Publicado en: | Journal of Cardiac Surgery Vol. 37; no. 11; pp. 3543 - 3550 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159614647&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159614647 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08860440 Q0U jtl: Journal of Cardiac Surgery issn: 08860440 maglogo: Y pubinfo: dt: Nov2022 vid: 37 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 159614647 158661479 159614647 NLM35998278 159614647 10.1111/jocs.16839 NLM35998278 159614647 ppf: 3543 ppct: 7 formats: tig: atl: A survey of cardiac surgeons to evaluate the use of sutureless aortic valve replacement in Canada. aug: au: Makhdoum, Ahmad Kim, Kevin Koziarz, Alex Reza, Seleman Alsagheir, Ali Pandey, Arjun Teoh, Kevin Alhazzani, Waleed Lamy, Andre Yanagawa, Bobby Belley‐Cote, Emilie P. Whitlock, Richard Belley-Cote, Emilie P affil: Population Research Health Institute, McMaster University, Hamilton, Canada sug: subj: Heart Valve Prosthesis Aortic Valve Stenosis Surgery Surgeons Canada Treatment Outcomes Aortic Valve Surgery Risk Factors Human Comparative Studies Multicenter Studies Randomized Controlled Trials Evaluation Research Validation Studies Scales ab: Background: Sutureless aortic valve replacement (SuAVR) is gaining popularity for the treatment of aortic stenosis. We aimed to describe Canadian cardiac surgeons' practice patterns and perceptions regarding SuAVR.Methods: Content experts (clinicians and methodologists) developed the survey. Domains in the questionnaire include: respondent characteristics, factors influencing the decision to implant a SuAVR, barriers to SuAVR use, and interest in participating in a trial.Results: A total of 66 cardiac surgeons (median duration of practice: 15 years; range 8-20 years) from 18 hospitals across Canada responded to the survey for a response rate of 84%. Surgeons reported that the following patient characteristics increased the likelihood they would choose SuAVR: hostile root (73%), small annular size (55%), high Society of Thoracic Surgery risk score (42%), older age (40%), to support minimally invasive surgery (25%) and redo-operation (23%). The following patient characteristics made surgeons less likely to pursue SuAVR: young age (73%), low STS score (40%), and large annular size (30%). Reported barriers to SuAVR use included: cost (33%), permanent pacemaker risk (27%) and uncertain durability (12%). Of respondents, 73% were interested in participating in a randomized controlled trial comparing SuAVR with transcatheter aortic valve replacement.Conclusions: The primary reasons for surgeons selecting SuAVR were high surgical risk and anatomical challenges. Cost is a primary factor limiting SuAVR use. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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