Effect of minimally invasive mitral valve surgery compared to sternotomy on short- and long-term outcomes: a retrospective multicentre interventional cohort study based on Netherlands Heart Registration
| العنوان: | Effect of minimally invasive mitral valve surgery compared to sternotomy on short- and long-term outcomes: a retrospective multicentre interventional cohort study based on Netherlands Heart Registration |
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| المؤلفون: | Olsthoorn, Jules R., Heuts, Samuel, Houterman, Saskia, Maessen, Jos G., Sardari Nia, Peyman, Bramer, S., van Boven, W. J. P., Vonk, A. B. A., Koene, B. M. J. A., Bekkers, J. A., Hoohenkerk, G. J. F., Markou, A. L. P., Weger, A. De, Segers, P., Porta, F., Speekenbrink, R. G. H., Stooker, W., Li, W. W. L., Daeter, E. J., van der Kaaij, N. P., Vigano, G. |
| المساهمون: | RS: Carim - Vessels, MUMC+: MA Med Staf Artsass CTC (9), CTC, MUMC+: MA Cardiothoracale Chirurgie (3), RS: Carim - V04 Surgical intervention, MUMC+: MA Med Staf Spec CTC (9), Cardiothoracic Surgery, ACS - Heart failure & arrhythmias |
| المصدر: | European Journal of Cardio-Thoracic Surgery, 61, 1099-1106 European Journal of Cardio-Thoracic Surgery, 61(5), 1099-1106. Oxford University Press European Journal of Cardio-Thoracic Surgery, 61, 5, pp. 1099-1106 European journal of cardio-thoracic surgery, 61(5), 1099-1106. Elsevier |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | REPAIR, Pulmonary and Respiratory Medicine, Other Research Radboud Institute for Health Sciences [Radboudumc 0], Mitral valve surgery, SOCIETY, General Medicine, Sternotomy, Cohort Studies, OPERATIONS, Nationwide registry, Treatment Outcome, Minimally invasive mitral valve surgery, VOLUME, Humans, Minimally Invasive Surgical Procedures, Mitral Valve, Surgery, Cardiology and Cardiovascular Medicine, Mitral valve repair, Netherlands, Retrospective Studies |
| الوصف: | OBJECTIVES Minimally invasive mitral valve surgery (MIMVS) has been performed increasingly for the past 2 decades; however, large comparative studies on short- and long-term outcomes have been lacking. This study aims to compare short- and long-term outcomes of patients undergoing MIMVS versus median sternotomy (MST) based on real-world data, extracted from the Netherlands Heart Registration. METHODS Patients undergoing mitral valve surgery, with or without tricuspid valve, atrial septal closure and/or rhythm surgery between 2013 and 2018 were included. Primary outcomes were short-term morbidity and mortality and long-term survival. Propensity score matching analyses were performed. RESULTS In total, 2501 patients were included, 1776 were operated through MST and 725 using an MIMVS approach. After propensity matching, no significant differences in baseline characteristics persisted. There were no between-group differences in 30-day mortality (1.1% vs 0.7%, P = 0.58), 1-year mortality (2.6% vs 2.1%, P = 0.60) or perioperative stroke rate (1.1% vs 0.6%, P = 0.25) between MST and MIMVS, respectively. An increased rate of postoperative arrhythmia was observed in the MST group (31.3% vs 22.4%, P CONCLUSIONS The MIMVS approach is as safe as the sternotomy approach for the surgical treatment of mitral valve disease. However, it comes at a cost of a reduced repair rate and more reinterventions in the long term, in the real-world. |
| تدمد: | 1010-7940 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2111923df2415d6c396f1e86ee0df71eTest http://hdl.handle.net/2066/251615Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2111923df2415d6c396f1e86ee0df71e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10107940 |
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