Does the Perceval sutureless aortic valve improve surgical times and clinical outcomes compared to stented bioprostheses in patients undergoing aortic valve replacement?
The Perceval sutureless aortic valve offers a faster implantation alternative to stented bioprostheses, reducing cross-clamp times and potentially improving clinical outcomes.
With the advent of transcatheter aortic valve implantation (TAVI) techniques, a renewed interest has developed in sutureless aortic valve concepts in the last decade. The main feature of sutureless aortic valve implantation is the speed of insertion, thus making implantation easier for the surgeon. As a result, cross clamp times and myocardial ischemia may be reduced. The combined procedures (CABG with AVR in particular) can be done with a short cross clamp time. Perceval valve also provides an increased effective orifice area as compared with a stented bioprosthesis. Sutureless implantation of the Perceval valve is not only associated with shorter cross-clamp and cardiopulmonary bypass times but improved clinical outcomes too. This review covers the sutureless aortic valves and their evolution, with elaborate details on Perceval S valve in particular (which is the most widely used sutureless valve around the globe).
Chandola et al. (Tue,) studied this question.