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Surgical aortic valve replacement with the ATS Enable sutureless aortic valve for aortic stenosis

Author: Alison Sinclair; Xuanqian Xie; Maurice McGregor; McGill University Health Centre. Technology Assessment Unit,
Publisher: Montreal, Quebec : Technology Assessment Unit of the McGill University Health Centre, 2013.
Series: Report (McGill University Health Centre. Technology Assessment Unit), no. 71.
Edition/Format:   eBook : Document : State or province government publication : EnglishView all editions and formats
Summary:
"Implantation of an aortic valve that does not need to be sutured in place is reported to reduce the time and invasiveness associated with standard surgical aortic valve replacement, potentially decreasing surgical risk and morbidity in selected patients. The available evidence is limited. It suggests that the procedure is reasonably safe and produces good clinical outcomes up to the limit of follow-up (one year).  Read more...
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Genre/Form: Electronic books
Material Type: Document, Government publication, State or province government publication, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Alison Sinclair; Xuanqian Xie; Maurice McGregor; McGill University Health Centre. Technology Assessment Unit,
OCLC Number: 870652870
Language Note: Summary in English and French.
Description: 1 online resource (x, 15 pages).
Contents: Executive summary --
Sommaire --
1. Background --
2. Objective(s) --
3. Methods. 3.1. Literature search --
3.2. Cost analysis --
4. Results. 4.1. Efficacy and safety --
4.2. Upcoming studies --
4.3. Economic evaluations --
5. Sutureless AVR at the MUHC. 5.1. MUHC SuAVR experience to date --
5.2. Cost analysis --
6. Conclusions --
7. Recommendations.
Series Title: Report (McGill University Health Centre. Technology Assessment Unit), no. 71.
Responsibility: by Alison Sinclair, Xuanqian Xie, Maurice McGregor.
More information:

Abstract:

"Implantation of an aortic valve that does not need to be sutured in place is reported to reduce the time and invasiveness associated with standard surgical aortic valve replacement, potentially decreasing surgical risk and morbidity in selected patients. The available evidence is limited. It suggests that the procedure is reasonably safe and produces good clinical outcomes up to the limit of follow-up (one year). Optimal patient selection, side effect profile (particularly relative to the more established alternatives), and long-term efficacy (beyond ~1 year) remain to be defined. ... Offset savings may result in some increased efficiency. It is concluded that there is insufficient evidence to support the general introduction of the sutureless aortic valve, but there is sufficient evidence of safety and short term efficacy to justify temporary, conditional approval with maintenance of a case registry"--Page iv.

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