Changes in the Prosthesis Types Used for Aortic Valve Replacement after the Introduction of Sutureless and Rapid Deployment Valves in Korea: A Nationwide Population-Based Cohort Study
Background: Sutureless and rapid deployment valves for aortic valve replacement (AVR) were introduced in Korea in December 2016. This study evaluated changing trends in the prosthetic valves used for AVR in Korea after the introduction of sutureless and rapid deployment valves. Methods: From Decemb...
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2021-10-01
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doaj-85aa357dba9c4399aace8aa8ba8128062021-10-06T06:11:37ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142021-10-0154536937610.5090/jcs.21.033Changes in the Prosthesis Types Used for Aortic Valve Replacement after the Introduction of Sutureless and Rapid Deployment Valves in Korea: A Nationwide Population-Based Cohort StudyHyeok Sang Woo0https://orcid.org/0000-0003-4967-6004Ho Young Hwang1https://orcid.org/0000-0002-8935-8118Ho Jin Kim2https://orcid.org/0000-0002-0809-2240Joon Bum Kim3https://orcid.org/0000-0001-5801-2395Sak Lee4https://orcid.org/0000-0001-6130-2342Cheong Lim5https://orcid.org/0000-0003-0913-7014Byung-Cheul Chang6https://orcid.org/0000-0001-5005-8217Na Rae Lee7https://orcid.org/0000-0001-6155-9906Youshin Suh8https://orcid.org/0000-0002-2966-7904Jae Woong Choi9https://orcid.org/0000-0002-0921-756XSeoul National University HospitalSeoul National University HospitalUniversity of Ulsan College of MedicineUniversity of Ulsan College of MedicineSeverance Cardiovascular HospitalSeoul National University College of MedicineCHA UniversityNational Evidence-based Healthcare Collaborating AgencyNational Evidence-based Healthcare Collaborating AgencySeoul National University HospitalBackground: Sutureless and rapid deployment valves for aortic valve replacement (AVR) were introduced in Korea in December 2016. This study evaluated changing trends in the prosthetic valves used for AVR in Korea after the introduction of sutureless and rapid deployment valves. Methods: From December 2016 to December 2018, 4,899 patients underwent AVR in Korea. After applying the exclusion criteria, 4,872 patients were analyzed to determine changes in the type of prosthetic valve used for AVR. The study period was divided into 5 groups corresponding to 5-month intervals. Results: The total number of AVR cases was 194.88±28.78 per month during the study period. Mechanical valves were used in approximately 27% to 33% of cases, and the proportion of mechanical valve use showed a tendency to decrease, with marginal significance overall (p=0.078) and significant decreases in patients less than 60 years of age and in men (p=0.013 and p=0.023, respectively). The use of sutureless valves increased from 13.4% to 25.8% of cases (p<0.001), especially in elderly patients (>70 years) and those requiring concomitant surgery. In a comparison between sutureless and rapid deployment valves, the use of Perceval S valves (a type of sutureless valve), gradually increased (p<0.001). Conclusion: After the introduction of sutureless and rapid deployment valves in Korea, the rate of use of these new valves remarkably increased, especially in elderly patients and those requiring concomitant surgery. Further studies should investigate the clinical outcomes of these new prostheses.aortic valve surgerykorearapid deployment valvesutureless valvetrends |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hyeok Sang Woo Ho Young Hwang Ho Jin Kim Joon Bum Kim Sak Lee Cheong Lim Byung-Cheul Chang Na Rae Lee Youshin Suh Jae Woong Choi |
spellingShingle |
Hyeok Sang Woo Ho Young Hwang Ho Jin Kim Joon Bum Kim Sak Lee Cheong Lim Byung-Cheul Chang Na Rae Lee Youshin Suh Jae Woong Choi Changes in the Prosthesis Types Used for Aortic Valve Replacement after the Introduction of Sutureless and Rapid Deployment Valves in Korea: A Nationwide Population-Based Cohort Study Journal of Chest Surgery aortic valve surgery korea rapid deployment valve sutureless valve trends |
author_facet |
Hyeok Sang Woo Ho Young Hwang Ho Jin Kim Joon Bum Kim Sak Lee Cheong Lim Byung-Cheul Chang Na Rae Lee Youshin Suh Jae Woong Choi |
author_sort |
Hyeok Sang Woo |
title |
Changes in the Prosthesis Types Used for Aortic Valve Replacement after the Introduction of Sutureless and Rapid Deployment Valves in Korea: A Nationwide Population-Based Cohort Study |
title_short |
Changes in the Prosthesis Types Used for Aortic Valve Replacement after the Introduction of Sutureless and Rapid Deployment Valves in Korea: A Nationwide Population-Based Cohort Study |
title_full |
Changes in the Prosthesis Types Used for Aortic Valve Replacement after the Introduction of Sutureless and Rapid Deployment Valves in Korea: A Nationwide Population-Based Cohort Study |
title_fullStr |
Changes in the Prosthesis Types Used for Aortic Valve Replacement after the Introduction of Sutureless and Rapid Deployment Valves in Korea: A Nationwide Population-Based Cohort Study |
title_full_unstemmed |
Changes in the Prosthesis Types Used for Aortic Valve Replacement after the Introduction of Sutureless and Rapid Deployment Valves in Korea: A Nationwide Population-Based Cohort Study |
title_sort |
changes in the prosthesis types used for aortic valve replacement after the introduction of sutureless and rapid deployment valves in korea: a nationwide population-based cohort study |
publisher |
Korean Society for Thoracic & Cardiovascular Surgery |
series |
Journal of Chest Surgery |
issn |
2765-1606 2765-1614 |
publishDate |
2021-10-01 |
description |
Background: Sutureless and rapid deployment valves for aortic valve replacement (AVR) were introduced in Korea in December 2016. This study evaluated changing trends in the prosthetic valves used for AVR in Korea after the introduction of sutureless and rapid deployment valves.
Methods: From December 2016 to December 2018, 4,899 patients underwent AVR in Korea. After applying the exclusion criteria, 4,872 patients were analyzed to determine changes in the type of prosthetic valve used for AVR. The study period was divided into 5 groups corresponding to 5-month intervals.
Results: The total number of AVR cases was 194.88±28.78 per month during the study period. Mechanical valves were used in approximately 27% to 33% of cases, and the proportion of mechanical valve use showed a tendency to decrease, with marginal significance overall (p=0.078) and significant decreases in patients less than 60 years of age and in men (p=0.013 and p=0.023, respectively). The use of sutureless valves increased from 13.4% to 25.8% of cases (p<0.001), especially in elderly patients (>70 years) and those requiring concomitant surgery. In a comparison between sutureless and rapid deployment valves, the use of Perceval S valves (a type of sutureless valve), gradually increased (p<0.001).
Conclusion: After the introduction of sutureless and rapid deployment valves in Korea, the rate of use of these new valves remarkably increased, especially in elderly patients and those requiring concomitant surgery. Further studies should investigate the clinical outcomes of these new prostheses. |
topic |
aortic valve surgery korea rapid deployment valve sutureless valve trends |
work_keys_str_mv |
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