scholarly journals Mechanical Valve Replacement Versus Bioprosthetic Valve Replacement in the Tricuspid Valve Position

2013 ◽  
Vol 28 (3) ◽  
pp. 212-217 ◽  
Author(s):  
Won-Chul Cho ◽  
Chong Bin Park ◽  
Joon Bum Kim ◽  
Sung-Ho Jung ◽  
Cheol Hyun Chung ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Tricuspid Valve ◽  
Mechanical Valve ◽  
Bioprosthetic Valve ◽  
Valve Position ◽  
Bioprosthetic Valve Replacement

scholarly journals Long-Term Outcomes of Bioprosthetic or Mechanical Valve Replacement in End-Stage Renal Disease: A Nationwide Population-Based Retrospective Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Guan-Yi Li ◽  
Yun-Yu Chen ◽  
Fa-Po Chung ◽  
Kuo-Liong Chien ◽  
Chiao-Po Hsu ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Mechanical Valve ◽  
Population Based ◽  
Bioprosthetic Valve ◽  
All Cause Mortality ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients ◽  
Bioprosthetic Valve Replacement

Background: Valve replacement is associated with worse outcomes in individuals who have end-stage renal disease (ESRD) and require a long-term renal replacement therapy. Prosthetic valve selection in patients with ESRD has remained controversial.Objective: We aimed to investigate long-term outcomes of mechanical and bioprosthetic valve replacement in individuals with ESRD.Methods: We conducted a population-based retrospective cohort study using data obtained from the Taiwan National Health Insurance Research Database. In total, 10,202 patients, including 912 ESRD and 9,290 non-ESRD patients, were selected after a 1:1 propensity-score matching based on the type of prosthetic valve used. The long-term mortality outcomes were then analyzed.Results: During a median follow-up period of 59.6 months, the Kaplan–Meier survival analysis revealed that ESRD patients who underwent mechanical valve replacement had higher rates of all-cause mortality and CV deaths than those who underwent bioprosthetic valve replacement (Log-rank test, p = 0.03 and 0.02, respectively). Multivariable regression analyses demonstrated that ESRD patients who underwent bioprosthetic valve replacement had lower rates of all-cause mortality (p < 0.001, hazard ratio: 0.88, 95% confidence interval: 0.82–0.93) and cardiovascular (CV) death (p < 0.001, hazard ratio: 0.83, 95% confidence interval: 0.76–0.90) than those who had mechanical valve replacement.Conclusion: Bioprosthetic valve replacement is significantly associated with lower rates of all-cause mortality and CV death in the ESRD population.

scholarly journals Outcome of bioprosthetic valve replacement in dogs with tricuspid valve dysplasia

2017 ◽  
Vol 58 (4) ◽  
pp. 205-210 ◽  
Author(s):  
P. Bristow ◽  
J. Sargent ◽  
V. Luis Fuentes ◽  
D. Brockman
Keyword(s):  
Valve Replacement ◽  
Tricuspid Valve ◽  
Bioprosthetic Valve ◽  
Bioprosthetic Valve Replacement

In patients undergoing dialysis who require a valve replacement is a bioprosthetic valve superior to a mechanical prosthesis in terms of long-term survival and morbidity?

2020 ◽  
Vol 31 (2) ◽  
pp. 174-178
Author(s):  
Laura S Fong ◽  
Zhen Hao Ang ◽  
Hugh Wolfenden ◽  
Zakir Akhunji
Keyword(s):  
Valve Replacement ◽  
Mechanical Valve ◽  
High Risk Group ◽  
Bioprosthetic Valve ◽  
Valve Prosthesis ◽  
Mechanical Prosthesis ◽  
Term Survival ◽  
Long Term Survival ◽  
Significant Difference

Abstract A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was ‘In [dialysis patients undergoing a valve replacement] is [a bioprosthetic valve superior to a mechanical prosthesis] for [long-term survival and morbidity]’. Altogether more than 501 papers were found using the reported search, of which five represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. There was limited high-quality evidence with all studies being retrospective. One meta-analysis and four cohort studies provided the evidence that there was no significant difference in long-term survival based on prosthesis type. However, the majority of studies demonstrated a significantly higher rate of valve-related complications including bleeding and thromboembolism, and readmission to hospital in the mechanical valve prosthesis group, likely related to the requirement for long-term anticoagulation. We conclude that overall long-term survival in dialysis-dependent patients is poor. While prosthesis type does not play a significant contributing role to long-term survival, bioprosthetic valves were associated with significantly fewer valve-related complications. Based on the available evidence, a bioprosthetic valve may be more suitable in this high-risk group of patients as it may avoid the complications associated with long-term anticoagulation without any reduction in long-term survival.

FROM TAVR TO MECHANICAL VALVE TO BIOPROSTHETIC VALVE: A CASE OF TRIPLE VALVE REPLACEMENT

2019 ◽  
Vol 73 (9) ◽  
pp. 2963
Author(s):  
Justin Johannesen ◽  
Amit Alam ◽  
Aziz Ghaly ◽  
Michael Huang ◽  
Kanika Mody ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Mechanical Valve ◽  
Bioprosthetic Valve ◽  
Triple Valve Replacement ◽  
Triple Valve
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