August 26, 2020Journal of Clinical MedicineOpen Access

Early Outcomes of Percutaneous Pulmonary Valve Implantation with Pulsta and Melody Valves: The First Report from Korea

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Why the study?

PPVI is used to treat PS or PR, and the authors sought to describe their experience with Melody and novel self-expandable Pulsta valves in Korea.

Does percutaneous pulmonary valve implantation with Melody or Pulsta valves improve hemodynamics and provide safe early outcomes in patients with RVOT dysfunction?

Population

42 patients undergoing PPVI in Korea

Design

Retrospective cohort study

Follow-up

Mean 14.2 month (4–57 months)

Authors

AKAh Young KimPediatric / Congenital Cardiology JJJo Won JungSeverance Hospital SJSe Yong JungYonsei University

Discussion

Member takes

Implication

May inform PPVI valve selection in select patients; hypothesis-generating and leaves open durability and comparative outcomes.

Structured PICO

Does percutaneous pulmonary valve implantation with Melody or Pulsta valves improve hemodynamics and provide safe early outcomes in patients with RVOT dysfunction?

Population

42 patients in Korea with right ventricular outflow tract (RVOT) dysfunction (pulmonary stenosis or pulmonary regurgitation). 29 patients had mostly bioprosthetic valves, valved conduits, and homografts; 13 patients had native RVOT lesions and homografts.

Intervention

Percutaneous pulmonary valve implantation (PPVI) using either the Melody valve (n=29) or the novel self-expandable Pulsta valve (n=13).

Outcome

Hemodynamic and imaging changes (peak right ventricle-to-pulmonary artery gradient, right ventricular systolic pressure, pulmonary regurgitation fraction, right ventricular end-diastolic volume index) and safety (mortality, severe procedural morbidity, valve-related complications).surrogate

Percutaneous pulmonary valve implantation using Melody and Pulsta valves provides excellent early hemodynamic improvements and safety in Korean patients with RVOT dysfunction.

Cite This Study

Kim et al. (2020) studied this question.

synapsesocial.com/papers/6a70469ca2d7cf2e39c2a4e5 https://doi.org/10.3390/jcm9092769

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Early Outcomes of Percutaneous Pulmonary Valve Implantation with Pulsta and Melody Valves: The First Report from Korea

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Early Outcomes of Percutaneous Pulmonary Valve Implantation with Pulsta and Melody Valves: The First Report from Korea

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider