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Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel.

Identifieur interne : 002158 ( PubMed/Corpus ); précédent : 002157; suivant : 002159

Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel.

Auteurs : Borut Gersak ; Theodor Fischlein ; Thierry A. Folliguet ; Bart Meuris ; Kevin H T. Teoh ; Simon C. Moten ; Marco Solinas ; Antonio Miceli ; Peter J. Oberwalder ; Manfredo Rambaldini ; Gopal Bhatnagar ; Michael A. Borger ; Denis Bouchard ; Olivier Bouchot ; Stephen C. Clark ; Otto E. Dapunt ; Matteo Ferrarini ; Guenther Laufer ; Carmelo Mignosa ; Russell Millner ; Philippe Noirhomme ; Steffen Pfeiffer ; Xavier Ruyra-Baliarda ; Malakh Shrestha ; Rakesh M. Suri ; Giovanni Troise ; Anno Diegeler ; Francois Laborde ; Marc Laskar ; Hani K. Najm ; Mattia Glauber

Source :

RBID : pubmed:26516193

English descriptors

Abstract

After a panel process, recommendations on the use of sutureless and rapid deployment valves in aortic valve replacement were given with special respect as an alternative to stented valves.

DOI: 10.1093/ejcts/ezv369
PubMed: 26516193

Links to Exploration step

pubmed:26516193

Le document en format XML

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<name sortKey="Gersak, Borut" sort="Gersak, Borut" uniqKey="Gersak B" first="Borut" last="Gersak">Borut Gersak</name>
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<nlm:affiliation>University of Ljubljana School of Medicine and University Medical Center Ljubljana, Ljubljana, Slovenia bgersak@maat.si.</nlm:affiliation>
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<name sortKey="Fischlein, Theodor" sort="Fischlein, Theodor" uniqKey="Fischlein T" first="Theodor" last="Fischlein">Theodor Fischlein</name>
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<nlm:affiliation>Klinikum Nuernberg, Paracelsus Medical University, Nuremberg, Germany.</nlm:affiliation>
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<name sortKey="Folliguet, Thierry A" sort="Folliguet, Thierry A" uniqKey="Folliguet T" first="Thierry A" last="Folliguet">Thierry A. Folliguet</name>
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<nlm:affiliation>Centre Hospitalo-Universitaire Brabois, Université de Lorraine, Vandoeuvre les Nancy, France.</nlm:affiliation>
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<name sortKey="Meuris, Bart" sort="Meuris, Bart" uniqKey="Meuris B" first="Bart" last="Meuris">Bart Meuris</name>
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<nlm:affiliation>U.Z. Gasthuisberg, Leuven, Belgium.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Teoh, Kevin H T" sort="Teoh, Kevin H T" uniqKey="Teoh K" first="Kevin H T" last="Teoh">Kevin H T. Teoh</name>
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<nlm:affiliation>McMaster University, Hamilton, ON, Canada.</nlm:affiliation>
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<name sortKey="Moten, Simon C" sort="Moten, Simon C" uniqKey="Moten S" first="Simon C" last="Moten">Simon C. Moten</name>
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<nlm:affiliation>Austin Health and Royal Melbourne Hospital, Melbourne, Australia.</nlm:affiliation>
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<name sortKey="Solinas, Marco" sort="Solinas, Marco" uniqKey="Solinas M" first="Marco" last="Solinas">Marco Solinas</name>
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<nlm:affiliation>Ospedale del Cuore G. Pasquinucci, Fondazione Toscana G. Monasterio, Massa, Italy.</nlm:affiliation>
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<name sortKey="Miceli, Antonio" sort="Miceli, Antonio" uniqKey="Miceli A" first="Antonio" last="Miceli">Antonio Miceli</name>
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<nlm:affiliation>Istituto Clinico Humanitas, Milan, Italy.</nlm:affiliation>
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<name sortKey="Oberwalder, Peter J" sort="Oberwalder, Peter J" uniqKey="Oberwalder P" first="Peter J" last="Oberwalder">Peter J. Oberwalder</name>
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<nlm:affiliation>Medical School Graz, Graz, Austria.</nlm:affiliation>
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<author>
<name sortKey="Rambaldini, Manfredo" sort="Rambaldini, Manfredo" uniqKey="Rambaldini M" first="Manfredo" last="Rambaldini">Manfredo Rambaldini</name>
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<nlm:affiliation>Ospedale di Mantova, Mantua, Italy.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Bhatnagar, Gopal" sort="Bhatnagar, Gopal" uniqKey="Bhatnagar G" first="Gopal" last="Bhatnagar">Gopal Bhatnagar</name>
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<nlm:affiliation>Trillium Cardiovascular Associates, Mississauga, ON, Canada.</nlm:affiliation>
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<name sortKey="Borger, Michael A" sort="Borger, Michael A" uniqKey="Borger M" first="Michael A" last="Borger">Michael A. Borger</name>
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<nlm:affiliation>Columbia University Medical Center, New York, NY, USA.</nlm:affiliation>
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<name sortKey="Bouchard, Denis" sort="Bouchard, Denis" uniqKey="Bouchard D" first="Denis" last="Bouchard">Denis Bouchard</name>
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<nlm:affiliation>University of Montreal, Montreal, QC, Canada.</nlm:affiliation>
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<name sortKey="Bouchot, Olivier" sort="Bouchot, Olivier" uniqKey="Bouchot O" first="Olivier" last="Bouchot">Olivier Bouchot</name>
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<nlm:affiliation>CHU le Bocage, Dijon, France.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Clark, Stephen C" sort="Clark, Stephen C" uniqKey="Clark S" first="Stephen C" last="Clark">Stephen C. Clark</name>
<affiliation>
<nlm:affiliation>Freeman Hospital, Newcastle, UK.</nlm:affiliation>
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<name sortKey="Dapunt, Otto E" sort="Dapunt, Otto E" uniqKey="Dapunt O" first="Otto E" last="Dapunt">Otto E. Dapunt</name>
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<nlm:affiliation>Medical School Graz, Graz, Austria.</nlm:affiliation>
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<name sortKey="Ferrarini, Matteo" sort="Ferrarini, Matteo" uniqKey="Ferrarini M" first="Matteo" last="Ferrarini">Matteo Ferrarini</name>
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<nlm:affiliation>Istituto Clinico Sant' Ambrogio, Milan, Italy.</nlm:affiliation>
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<name sortKey="Laufer, Guenther" sort="Laufer, Guenther" uniqKey="Laufer G" first="Guenther" last="Laufer">Guenther Laufer</name>
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<nlm:affiliation>Medizinische Universitaet Wien, Vienna, Austria.</nlm:affiliation>
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<name sortKey="Mignosa, Carmelo" sort="Mignosa, Carmelo" uniqKey="Mignosa C" first="Carmelo" last="Mignosa">Carmelo Mignosa</name>
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<nlm:affiliation>Ospedale Ferrarotto, Catania, Italy.</nlm:affiliation>
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<name sortKey="Millner, Russell" sort="Millner, Russell" uniqKey="Millner R" first="Russell" last="Millner">Russell Millner</name>
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<nlm:affiliation>Blackpool Victoria Hospital, Blackpool, UK.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Noirhomme, Philippe" sort="Noirhomme, Philippe" uniqKey="Noirhomme P" first="Philippe" last="Noirhomme">Philippe Noirhomme</name>
<affiliation>
<nlm:affiliation>Cliniques Universitaires St-Luc, Brussels, Belgium.</nlm:affiliation>
</affiliation>
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<name sortKey="Pfeiffer, Steffen" sort="Pfeiffer, Steffen" uniqKey="Pfeiffer S" first="Steffen" last="Pfeiffer">Steffen Pfeiffer</name>
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<nlm:affiliation>Klinikum Nuernberg, Paracelsus Medical University, Nuremberg, Germany.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Ruyra Baliarda, Xavier" sort="Ruyra Baliarda, Xavier" uniqKey="Ruyra Baliarda X" first="Xavier" last="Ruyra-Baliarda">Xavier Ruyra-Baliarda</name>
<affiliation>
<nlm:affiliation>Hospital University Germans Trias I Pujol, Barcelona, Spain.</nlm:affiliation>
</affiliation>
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<name sortKey="Shrestha, Malakh" sort="Shrestha, Malakh" uniqKey="Shrestha M" first="Malakh" last="Shrestha">Malakh Shrestha</name>
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<nlm:affiliation>Medizinischen Hochschule Hannover, Hannover, Germany.</nlm:affiliation>
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<name sortKey="Suri, Rakesh M" sort="Suri, Rakesh M" uniqKey="Suri R" first="Rakesh M" last="Suri">Rakesh M. Suri</name>
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<nlm:affiliation>Mayo Clinic, Rochester, MN, USA.</nlm:affiliation>
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<name sortKey="Troise, Giovanni" sort="Troise, Giovanni" uniqKey="Troise G" first="Giovanni" last="Troise">Giovanni Troise</name>
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<nlm:affiliation>Fondazione Poliambulanza, Brescia, Italy.</nlm:affiliation>
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<name sortKey="Diegeler, Anno" sort="Diegeler, Anno" uniqKey="Diegeler A" first="Anno" last="Diegeler">Anno Diegeler</name>
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<nlm:affiliation>Herz- und Gefäß-Klinik Bad Neustadt, Bad Neustadt an der Saale, Germany.</nlm:affiliation>
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<name sortKey="Laborde, Francois" sort="Laborde, Francois" uniqKey="Laborde F" first="Francois" last="Laborde">Francois Laborde</name>
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<nlm:affiliation>Institut Mutualiste Montsouris, Paris, France.</nlm:affiliation>
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<name sortKey="Laskar, Marc" sort="Laskar, Marc" uniqKey="Laskar M" first="Marc" last="Laskar">Marc Laskar</name>
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<nlm:affiliation>University Hospital Dupuytren, Limoges, France.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Najm, Hani K" sort="Najm, Hani K" uniqKey="Najm H" first="Hani K" last="Najm">Hani K. Najm</name>
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<nlm:affiliation>King Fahad National Guard Hospital, Riyadh, Saudi Arabia.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Glauber, Mattia" sort="Glauber, Mattia" uniqKey="Glauber M" first="Mattia" last="Glauber">Mattia Glauber</name>
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<nlm:affiliation>Istituto Clinico Sant' Ambrogio, Milan, Italy.</nlm:affiliation>
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<title xml:lang="en">Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel.</title>
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<name sortKey="Gersak, Borut" sort="Gersak, Borut" uniqKey="Gersak B" first="Borut" last="Gersak">Borut Gersak</name>
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<nlm:affiliation>University of Ljubljana School of Medicine and University Medical Center Ljubljana, Ljubljana, Slovenia bgersak@maat.si.</nlm:affiliation>
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<name sortKey="Fischlein, Theodor" sort="Fischlein, Theodor" uniqKey="Fischlein T" first="Theodor" last="Fischlein">Theodor Fischlein</name>
<affiliation>
<nlm:affiliation>Klinikum Nuernberg, Paracelsus Medical University, Nuremberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Folliguet, Thierry A" sort="Folliguet, Thierry A" uniqKey="Folliguet T" first="Thierry A" last="Folliguet">Thierry A. Folliguet</name>
<affiliation>
<nlm:affiliation>Centre Hospitalo-Universitaire Brabois, Université de Lorraine, Vandoeuvre les Nancy, France.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Meuris, Bart" sort="Meuris, Bart" uniqKey="Meuris B" first="Bart" last="Meuris">Bart Meuris</name>
<affiliation>
<nlm:affiliation>U.Z. Gasthuisberg, Leuven, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Teoh, Kevin H T" sort="Teoh, Kevin H T" uniqKey="Teoh K" first="Kevin H T" last="Teoh">Kevin H T. Teoh</name>
<affiliation>
<nlm:affiliation>McMaster University, Hamilton, ON, Canada.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Moten, Simon C" sort="Moten, Simon C" uniqKey="Moten S" first="Simon C" last="Moten">Simon C. Moten</name>
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<nlm:affiliation>Austin Health and Royal Melbourne Hospital, Melbourne, Australia.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Solinas, Marco" sort="Solinas, Marco" uniqKey="Solinas M" first="Marco" last="Solinas">Marco Solinas</name>
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<nlm:affiliation>Ospedale del Cuore G. Pasquinucci, Fondazione Toscana G. Monasterio, Massa, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Miceli, Antonio" sort="Miceli, Antonio" uniqKey="Miceli A" first="Antonio" last="Miceli">Antonio Miceli</name>
<affiliation>
<nlm:affiliation>Istituto Clinico Humanitas, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Oberwalder, Peter J" sort="Oberwalder, Peter J" uniqKey="Oberwalder P" first="Peter J" last="Oberwalder">Peter J. Oberwalder</name>
<affiliation>
<nlm:affiliation>Medical School Graz, Graz, Austria.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Rambaldini, Manfredo" sort="Rambaldini, Manfredo" uniqKey="Rambaldini M" first="Manfredo" last="Rambaldini">Manfredo Rambaldini</name>
<affiliation>
<nlm:affiliation>Ospedale di Mantova, Mantua, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bhatnagar, Gopal" sort="Bhatnagar, Gopal" uniqKey="Bhatnagar G" first="Gopal" last="Bhatnagar">Gopal Bhatnagar</name>
<affiliation>
<nlm:affiliation>Trillium Cardiovascular Associates, Mississauga, ON, Canada.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Borger, Michael A" sort="Borger, Michael A" uniqKey="Borger M" first="Michael A" last="Borger">Michael A. Borger</name>
<affiliation>
<nlm:affiliation>Columbia University Medical Center, New York, NY, USA.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bouchard, Denis" sort="Bouchard, Denis" uniqKey="Bouchard D" first="Denis" last="Bouchard">Denis Bouchard</name>
<affiliation>
<nlm:affiliation>University of Montreal, Montreal, QC, Canada.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bouchot, Olivier" sort="Bouchot, Olivier" uniqKey="Bouchot O" first="Olivier" last="Bouchot">Olivier Bouchot</name>
<affiliation>
<nlm:affiliation>CHU le Bocage, Dijon, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Clark, Stephen C" sort="Clark, Stephen C" uniqKey="Clark S" first="Stephen C" last="Clark">Stephen C. Clark</name>
<affiliation>
<nlm:affiliation>Freeman Hospital, Newcastle, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Dapunt, Otto E" sort="Dapunt, Otto E" uniqKey="Dapunt O" first="Otto E" last="Dapunt">Otto E. Dapunt</name>
<affiliation>
<nlm:affiliation>Medical School Graz, Graz, Austria.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ferrarini, Matteo" sort="Ferrarini, Matteo" uniqKey="Ferrarini M" first="Matteo" last="Ferrarini">Matteo Ferrarini</name>
<affiliation>
<nlm:affiliation>Istituto Clinico Sant' Ambrogio, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Laufer, Guenther" sort="Laufer, Guenther" uniqKey="Laufer G" first="Guenther" last="Laufer">Guenther Laufer</name>
<affiliation>
<nlm:affiliation>Medizinische Universitaet Wien, Vienna, Austria.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Mignosa, Carmelo" sort="Mignosa, Carmelo" uniqKey="Mignosa C" first="Carmelo" last="Mignosa">Carmelo Mignosa</name>
<affiliation>
<nlm:affiliation>Ospedale Ferrarotto, Catania, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Millner, Russell" sort="Millner, Russell" uniqKey="Millner R" first="Russell" last="Millner">Russell Millner</name>
<affiliation>
<nlm:affiliation>Blackpool Victoria Hospital, Blackpool, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Noirhomme, Philippe" sort="Noirhomme, Philippe" uniqKey="Noirhomme P" first="Philippe" last="Noirhomme">Philippe Noirhomme</name>
<affiliation>
<nlm:affiliation>Cliniques Universitaires St-Luc, Brussels, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pfeiffer, Steffen" sort="Pfeiffer, Steffen" uniqKey="Pfeiffer S" first="Steffen" last="Pfeiffer">Steffen Pfeiffer</name>
<affiliation>
<nlm:affiliation>Klinikum Nuernberg, Paracelsus Medical University, Nuremberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ruyra Baliarda, Xavier" sort="Ruyra Baliarda, Xavier" uniqKey="Ruyra Baliarda X" first="Xavier" last="Ruyra-Baliarda">Xavier Ruyra-Baliarda</name>
<affiliation>
<nlm:affiliation>Hospital University Germans Trias I Pujol, Barcelona, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Shrestha, Malakh" sort="Shrestha, Malakh" uniqKey="Shrestha M" first="Malakh" last="Shrestha">Malakh Shrestha</name>
<affiliation>
<nlm:affiliation>Medizinischen Hochschule Hannover, Hannover, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Suri, Rakesh M" sort="Suri, Rakesh M" uniqKey="Suri R" first="Rakesh M" last="Suri">Rakesh M. Suri</name>
<affiliation>
<nlm:affiliation>Mayo Clinic, Rochester, MN, USA.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Troise, Giovanni" sort="Troise, Giovanni" uniqKey="Troise G" first="Giovanni" last="Troise">Giovanni Troise</name>
<affiliation>
<nlm:affiliation>Fondazione Poliambulanza, Brescia, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Diegeler, Anno" sort="Diegeler, Anno" uniqKey="Diegeler A" first="Anno" last="Diegeler">Anno Diegeler</name>
<affiliation>
<nlm:affiliation>Herz- und Gefäß-Klinik Bad Neustadt, Bad Neustadt an der Saale, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Laborde, Francois" sort="Laborde, Francois" uniqKey="Laborde F" first="Francois" last="Laborde">Francois Laborde</name>
<affiliation>
<nlm:affiliation>Institut Mutualiste Montsouris, Paris, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Laskar, Marc" sort="Laskar, Marc" uniqKey="Laskar M" first="Marc" last="Laskar">Marc Laskar</name>
<affiliation>
<nlm:affiliation>University Hospital Dupuytren, Limoges, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Najm, Hani K" sort="Najm, Hani K" uniqKey="Najm H" first="Hani K" last="Najm">Hani K. Najm</name>
<affiliation>
<nlm:affiliation>King Fahad National Guard Hospital, Riyadh, Saudi Arabia.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Glauber, Mattia" sort="Glauber, Mattia" uniqKey="Glauber M" first="Mattia" last="Glauber">Mattia Glauber</name>
<affiliation>
<nlm:affiliation>Istituto Clinico Sant' Ambrogio, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series>
<title level="j">European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery</title>
<idno type="eISSN">1873-734X</idno>
<imprint>
<date when="2016" type="published">2016</date>
</imprint>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Aortic Valve (surgery)</term>
<term>Bioprosthesis</term>
<term>Consensus</term>
<term>Heart Valve Prosthesis</term>
<term>Heart Valve Prosthesis Implantation (instrumentation)</term>
<term>Heart Valve Prosthesis Implantation (methods)</term>
<term>Humans</term>
<term>Stents</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Heart Valve Prosthesis Implantation</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Heart Valve Prosthesis Implantation</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Aortic Valve</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bioprosthesis</term>
<term>Consensus</term>
<term>Heart Valve Prosthesis</term>
<term>Humans</term>
<term>Stents</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">After a panel process, recommendations on the use of sutureless and rapid deployment valves in aortic valve replacement were given with special respect as an alternative to stented valves.</div>
</front>
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<Day>07</Day>
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<Day>04</Day>
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<Title>European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery</Title>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">After a panel process, recommendations on the use of sutureless and rapid deployment valves in aortic valve replacement were given with special respect as an alternative to stented valves.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Thirty-one international experts in both sutureless, rapid deployment valves and stented bioprostheses constituted the panel. After a thorough literature review, evidence-based recommendations were rated in a three-step modified Delphi approach by the experts.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Literature research could identify 67 clinical trials, 4 guidelines and 10 systematic reviews for detailed text analysis to obtain a total of 28 recommendations. After rating by the experts, 12 recommendations were identified and degree of consensus for each was determined. Proctoring and education are necessary for the introduction of sutureless valves on an institutional basis as well as for the individual training of surgeons. Sutureless and rapid deployment should be considered as the valve prosthesis of first choice for isolated procedures in patients with comorbidities, old age, delicate aortic wall conditions such as calcified root, porcelain aorta or prior implantation of aortic homograft and stentless valves as well as for concomitant procedures and small aortic roots to reduce cross-clamp time. Intraoperative transoesophageal echocardiography is highly recommended, and in case of right anterior thoracotomy, preoperative computer tomography is strongly recommended. Suitable annular sizes are 19-27 mm. There is a contraindication for bicuspid valves only for Type 0 and for annular abscess or destruction due to infective endocarditis. Careful but complete decalcification of the aortic root is recommended to avoid paravalvular leakage; extensive decalcification should be avoided not to create annular defects. Proximal anastomoses of concomitant coronary artery bypass grafting should be placed during a single aortic cross-clamp period or alternatively with careful side clamping. Available evidence suggests that the use of sutureless and rapid deployment valve is associated with (can translate into) reduced early complications such as prolonged ventilation, blood transfusion, atrial fibrillation, pleural effusions and renal replacement therapy, respectively, and may result in reduced intensive care unit and hospital stay in comparison with traditional valves.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The international experts recommend various benefits of sutureless and rapid deployment technology, which may represent a helpful tool in aortic valve replacement for patients requiring a biological valve. However, further evidence will be needed to reaffirm the benefit of sutureless and rapid deployment valves.</AbstractText>
<CopyrightInformation>© The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.</CopyrightInformation>
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<DescriptorName UI="D001021" MajorTopicYN="N">Aortic Valve</DescriptorName>
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