Key result
Percutaneous pulmonary valve implantation resulted in 86.1% freedom from re-operation at 1 year compared to 100% with the conventional surgical approach, with both showing low mortality.
Why the study?
Does percutaneous pulmonary valve implantation compare favorably to surgical re-intervention for right ventricular outflow tract in terms of safety and efficacy?
Population
129 paediatric and adult patients undergoing re-intervention to the right ventricular outflow tract…
Comparison
Percutaneous pulmonary valve implantation vs Conventional surgical valve/conduit approach to…
Design
Cohort
Follow-up
1 year
Authors
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PPVI should not yet supplant surgery given higher re-operation in this cohort; leaves open its complementary role pending randomized data.
Cohort (n=129)
Does percutaneous pulmonary valve implantation compare favorably to surgical re-intervention for right ventricular outflow tract in terms of safety and efficacy?
Absolute Event Rate: 86.1% vs 100%
Percutaneous pulmonary valve implantation is a safe and complementary approach to surgery for RVOT re-intervention, offering shorter hospital stays but a higher 1-year re-operation rate.
Coats et al. (2005) conducted a cohort in Right ventricular outflow tract re-intervention (n=129). Percutaneous pulmonary valve implantation vs. Conventional surgical valve/conduit approach was evaluated on Freedom from re-operation at 1 year. Percutaneous pulmonary valve implantation resulted in 86.1% freedom from re-operation at 1 year compared to 100% with the conventional surgical approach, with both showing low mortality.
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