Biological: Difference between revisions

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!EOA (cm2)
!EOA (cm2)
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|Biocor  
|rowspan="4" valign="top"|Biocor  
|Stentless bioprosthesis 27 13 ± 1
|rowspan="4" valign="top"|Stentless bioprosthesis  
|27  
|13 ± 1
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|29 14 ± 2.5
|29  
|14 ± 2.5
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|31 11.5 ± 0.5
|31  
|11.5 ± 0.5
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|33 12 ± 0.5
|33  
|12 ± 0.5
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|Stented pericardial bioprosthesis BioFlo 25 10 ± 2 6.3 ± 1.5 0.1 ± 2
|rowspan="4" valign="top"|Bioflo pericardial
|rowspan="4" valign="top"|Stented bioprosthesis
|25  
|10 ± 2  
|6.3 ± 1.5  
|
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|2 ± 0.1
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|27 9.5 ± 2.6 5.4 ± 1.2 2 ± 0.3
|27  
|9.5 ± 2.6  
|5.4 ± 1.2  
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|2 ± 0.3
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|29 5 ± 2.8 3.6 ± 0.2 2.4 ± 1
|29
|5 ± 2.8
|3.6 ± 1
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|2.4 ± 0.2
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|31 4.0 2.0 2.3
|31  
|4.0  
|2.0
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|2.3
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|Carpentier - Edwards stented bioprosthesis 27 6 ± 2 1.7 ± 0.3 98 ± 28
|rowspan="5" valign="top"|Carpentier - Edwards  
|rowspan="5" valign="top"|Stented bioprosthesis  
|27  
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|6 ± 2
|1.7 ± 0.3
|98 ± 28  
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|29 4.7 2 ± 1.76 ± 92 ± 14 12:27
|29
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|4.7 ± 2
|1.76 ± 0.27
|92 ± 14
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|4.4 31 ± 2 92 ± 1:54 ± 0:15 19
|31
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|4.4 ± 2
|1.54 ± 0.15
|92 ± 19
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|6 33 ± 3 93 ± 12
|33
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|6 ± 3
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|93 ± 12
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|Carpentier - Edwards pericardial stented Bioprosthesis 27 3.6 1.6 100
|rowspan="5" valign="top"|Carpentier - Edwards pericardial stented Bioprosthesis 27 3.6 1.6 100
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|29 5:25 2:36 ± 1.67 ± 0.3 110 ± 15
|29 5:25 2:36 ± 1.67 ± 0.3 110 ± 15
Line 506: Line 571:
|23 1.0 0.8 80
|23 1.0 0.8 80
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|Hancock I ( or NOS ) stented bioprosthesis 27 10 ± 4 5 ± 2 1.3 ± 0.8
|rowspan="5" valign="top"|Hancock I ( or NOS ) stented bioprosthesis 27 10 ± 4 5 ± 2 1.3 ± 0.8
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|29 7 ± 3 2:46 ± 0.79 115 ± 20 1.5 ± 0.2
|29 7 ± 3 2:46 ± 0.79 115 ± 20 1.5 ± 0.2
Line 514: Line 579:
|33 3 2 ± 3.87 ± 2 90 ± 12 1.9 ± 0.2
|33 3 2 ± 3.87 ± 2 90 ± 12 1.9 ± 0.2
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|Hancock II stented bioprosthesis 27 2:21 ± 0:14
|rowspan="5" valign="top"|Hancock II stented bioprosthesis 27 2:21 ± 0:14
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|29 2.77 ± 0:11
|29 2.77 ± 0:11
Line 522: Line 587:
|33 3:15 ± 0:22
|33 3:15 ± 0:22
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|Hancock pericardial stented bioprosthesis 29 2.61 ± 1:39 1:42 ± 0:14 105 ± 36
|rowspan="5" valign="top"|Hancock pericardial stented bioprosthesis 29 2.61 ± 1:39 1:42 ± 0:14 105 ± 36
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|31 3:57 1:02 1:51 ± 0:27 ± 81 ± 23
|31 3:57 1:02 1:51 ± 0:27 ± 81 ± 23
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|Ionescu - Shiley stented bioprosthesis 25 4.87 ± 1.43 ± 1:08 ± 0:15 93 11
|rowspan="5" valign="top"|Ionescu - Shiley stented bioprosthesis 25 4.87 ± 1.43 ± 1:08 ± 0:15 93 11
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|27 3:21 1:31 ± 0:24 ± 0.82 100 ± 28
|27 3:21 1:31 ± 0:24 ± 0.82 100 ± 28
Line 534: Line 599:
|31 ± 0.9 1.45 ± 3.63 100 ± 36 00:06
|31 ± 0.9 1.45 ± 3.63 100 ± 36 00:06
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|Ionescu - Shiley low profile stented bioprosthesis 29 3:31 1:36 ± 0.96 ± 0.25 80 ± 30
|rowspan="5" valign="top"|Ionescu - Shiley low profile stented bioprosthesis 29 3:31 1:36 ± 0.96 ± 0.25 80 ± 30
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|31 2.74 ± 0:37 1:33 ± 0:14 ± 79 15
|31 2.74 ± 0:37 1:33 ± 0:14 ± 79 15
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|Stented pericardial bioprosthesis Labcor - Santiago 25 8.7 4.5 97 2.2
|rowspan="5" valign="top"|Stented pericardial bioprosthesis Labcor - Santiago 25 8.7 4.5 97 2.2
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|27 5.6 ± 2.3 2.8 ± 1.5 85 ± 18 ± 2:12 0:48
|27 5.6 ± 2.3 2.8 ± 1.5 85 ± 18 ± 2:12 0:48
Line 544: Line 609:
|29 ± 6.2 2.1 ± 1.3 80 ± 3 34 ± 0.73 2:11
|29 ± 6.2 2.1 ± 1.3 80 ± 3 34 ± 0.73 2:11
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|Medtronic Intact Porcine stented bioprosthesis 29 3.5 ± 1.6 ± 0:51 0:22
|rowspan="5" valign="top"|Medtronic Intact Porcine stented bioprosthesis 29 3.5 ± 1.6 ± 0:51 0:22
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|31 ± 4.2 1.6 ± 1:44 0:26
|31 ± 4.2 1.6 ± 1:44 0:26
Line 552: Line 617:
|35 3.2 ± 1.77 1.3 ± 0.5
|35 3.2 ± 1.77 1.3 ± 0.5
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|Stented bioprosthesis Mitroflow 25 6.9 2.0 90
|rowspan="5" valign="top"|Stented bioprosthesis Mitroflow 25 6.9 2.0 90
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|27 3:07 0.91 ± 1.5 90 ± 20
|27 3:07 0.91 ± 1.5 90 ± 20
Line 560: Line 625:
|31 3.85 ± 0.81 91 ± 1:32 ± 0:26 22
|31 3.85 ± 0.81 91 ± 1:32 ± 0:26 22
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|Stentless quadrileaflet bovine pericardial bioprosthesis Stentless 26 2.2 1.7 ± 1.6 103 ± 31 1.7
|rowspan="5" valign="top"|Stentless quadrileaflet bovine pericardial bioprosthesis Stentless 26 2.2 1.7 ± 1.6 103 ± 31 1.7
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|28 1:58 ± 0.25 1.7 ± 0.6
|28 1:58 ± 0.25 1.7 ± 0.6
Line 566: Line 631:
|30 1:42 0:32 ± 2.3 ± 0.4
|30 1:42 0:32 ± 2.3 ± 0.4
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|Wessex stented bioprosthesis 29 3.69 ± 0.61 1.66 ± 83 ± 19 00:17
|rowspan="5" valign="top"|Wessex  
|rowspan="5" valign="top"|Stented bioprosthesis  
|29
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|3.69 ± 0.61
|1.66 ± 0.17
|83 ± 19
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|31 3:31 1:41 ± 0.83 ± 0.25 80 ± 21
|31  
|
|3.31 ± 0.83
|1.41 ± 0.25
|80 ± 21
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|}
|}


Revision as of 14:00, 3 January 2014

Biological prosthetic valves

Normal values for Biological Aortic Valve Prosthesis
Valve Type Size (mm) Peak gradient (mmHg) Mean gradient (mmHg) EOA (cm2)
Baxter Perimount Stented bovine pericardial 19 32.5 ± 8.5 19.5 ± 5.5 1.3 ± 0.2
21 24.9 ± 7.7 13.8 ± 4.0 1.3 ± 0.3
23 19.9 ± 7.4 11.5 ± 3.9 1.6 ± 0.3
25 16.5 ± 7.8 10.7 ± 3.8 1.6 ± 0.4
27 12.8 ± 5.4 4.8 ± 2.2 2.0 ± 0.4
Biocor Stented porcine 23 30.0 ± 10.7 20 ± 6.6 1.3 ± 0.3
25 23.0 ± 7.9 16 ± 5.1 1.7 ± 0.4
27 22.0 ± 6.5 15.0 ± 3.7 2.2 ± 0.4
BioFlo Stented bovine pericardial 19 37.2 ± 8.8 26.4 ± 5.5 0.7 ± 0.1
21 28.7 ± 6.2 18.7 ± 5.5 1.1 ± 0.1
Carpentier Edwards Pericardial Stented bovine pericardial 19 32.1 ± 3.4 24.2 ± 8.6 1.2 ± 0.3
21 25.7 ± 9.9 20.3 ± 9.1 1.5 ± 0.4
23 21.7 ± 8.6 13.0 ± 5.3 1.8 ± 0.3
25 16.5 ± 5.4 9.0 ± 2.3
Carpentier Edwards Standard Stented porcine 19 43.5 ± 12.7 25.6 ± 8.0 0.9 ± 0.2
21 27.7 ± 7.6 17.3 ± 6.2 1.5 ± 0.3
23 28.9 ± 7.5 16.1 ± 6.2 1.7 ± 0.5
25 24.0 ± 7.1 12.9 ± 4.6 1.9 ± 0.5
27 22.1 ± 8.2 12.1 ± 5.5 2.3 ± 0.6
29 9.9 ± 2.9 2.8 ± 0.5
Carpentier Supra - Annular Stented porcine 19 34.1 ± 2.7 1.1 ± 0.1
21 28.0 ± 10.5 17.5 ± 3.8 1.4 ± 0.9
23 25.3 ± 10.5 13.4 ± 4.5 1.6 ± 0.6
25 24.4 ± 7.6 13.2 ± 4.8 1.8 ± 0.4
27 16.7 ± 4.7 8.8 ± 2.8 1.9 ± 0.7
CryoLife Stentless 19 9.0 ± 2.0 1.5 ± 0.3
21 6.6 ± 2.9 1.7 ± 0.4
23 6.0 ± 2.3 2.3 ± 0.2
25 6.1 ± 2.6 2.6 ± 0.2
27 4.0 ± 2.4 2.8 ± 0.3
Extended Biocor Stentless 19 17.5 ± 6.5 9.6 ± 3.6 1.4 ± 0.4
21 17.5 ± 6.5 9.6 ± 3.6 1.4 ± 0.4
23 14.7 ± 7.3 7.7 ± 3.8 1.7 ± 0.4
25 14.0 ± 4.3 7.4 ± 2.5 1.8 ± 0.4
Hancock Stented porcine 21 18.0 ± 6.0 12.0 ± 2.0
23 16.0 ± 2.0 11.0 ± 2.0
25 15.0 ± 3.0 10.0 ± 3.0
Hancock II Stented porcine 21 14.8 ± 4.1 1.3 ± 0.4
23 34.0 ± 13.0 16.6 ± 8.5 1.3 ± 0.4
25 22.0 ± 5.3 10.8 ± 2.8 1.6 ± 0.4
29 16.2 ± 1.5 8.2 ± 1.7 1.6 ± 0.2
Homograft Homograft valves ? ? ? ?
Intact Stented porcine 19 40.4 ± 15.4 24.5 ± 9.3
21 40.9 ± 15.6 19.6 ± 8.1 1.6 ± 0.4
23 32.7 ± 9.6 19.0 ± 6.1 1.6 ± 0.4
25 29.7 ± 15.0 17.7 ± 7.9 1.7 ± 0.3
27 25.0 ± 7.6 15.0 ± 4.5
Ionescu - Shiley Stented bovine pericardial 17 23.8 ± 3.4 0.9 ± 0.1
19 19.7 ± 5.9 13.3 ± 3.9 1.1 ± 0.1
21 26.6 ± 9.0
23 15.6 ± 4.4
Labcor Santiago Stented bovine pericardial 19 18.6 ± 5.0 11.8 ± 3.3 1.2 ± 0.1
21 17.5 ± 6.6 8.2 ± 4.5 1.3 ± 0.1
23 14.8 ± 5.2 7.8 ± 2.9 1.8 ± 0.2
25 12.3 ± 3.4 6.8 ± 2.0 2.1 ± 0.3
Labcor Synergy Stented porcine 21 24.3 ± 8.1 13.3 ± 4.2 1.1 ± 0.3
23 27.3 ± 13.7 15.3 ± 6.9 1.4 ± 0.4
25 22.5 ± 11.9 13.2 ± 6.4 1.5 ± 0.4
27 17.8 ± 7.0 10.6 ± 4.6 1.8 ± 0.5
Medtronic Freestyle Stentless 19 13.0 ± 3.9
21 9.1 ± 5.1 1.4 ± 0.3
23 11.0 ± 4.0 8.1 ± 4.6 1.7 ± 0.5
25 5.3 ± 3.1 2.1 ± 0.5
27 4.6 ± 3.1 2.5 ± 0.1
Medtronic Mosaic Stented porcine 21 14.2 ± 5.0 1.4 ± 0.4
23 23.8 ± 11.0 13.7 ± 4.8 1.5 ± 0.4
25 22.5 ± 10.0 11.7 ± 5.1 1.8 ± 0.5
27 10.4 ± 4.3 1.9 ± 0.1
29 11.1 ± 4.3 2.1 ± 0.2
Mitroflow Stented bovine pericardial 19 18.6 ± 5.3 13.1 ± 3.3 1.1 ± 0.2
Prima Stentless 21 28.8 ± 6.0 13.7 ± 1.9 1.4 ± 0.7
23 21.5 ± 7.5 11.5 ± 4.9 1.5 ± 0.3
25 22.1 ± 12.5 11.6 ± 7.2 1.8 ± 0.5
Sorin Pericarbon Stentless 19 36.5 ± 9.0 28.9 ± 7.3 1.2 ± 0.5
21 28.0 ± 13.3 23.8 ± 11.1 1.3 ± 0.6
23 27.5 ± 11.5 23.2 ± 7.6 1.5 ± 0.5
St. Jude Medical Stentless 21 22.6 ± 14.5 10.7 ± 7.2 1.3 ± 0.6
23 16.2 ± 9.0 8.2 ± 4.7 1.6 ± 0.6
25 12.7 ± 8.2 6.3 ± 4.1 1.8 ± 0.5
27 10.1 ± 5.8 5.0 ± 2.9 2.0 ± 0.3
29 7.7 ± 4.4 4.1 ± 2.4 2.4 ± 0.6
Normal values for Biological Mitral Valve Prosthesis
Valve Type Size (mm) Peak gradient (mmHg) Mean gradient (mmHg) Peak Velocity (m/s) Pressure half-time (ms) EOA (cm2)
Biocor Stentless bioprosthesis 27 13 ± 1
29 14 ± 2.5
31 11.5 ± 0.5
33 12 ± 0.5
Bioflo pericardial Stented bioprosthesis 25 10 ± 2 6.3 ± 1.5 2 ± 0.1
27 9.5 ± 2.6 5.4 ± 1.2 2 ± 0.3
29 5 ± 2.8 3.6 ± 1 2.4 ± 0.2
31 4.0 2.0 2.3
Carpentier - Edwards Stented bioprosthesis 27 6 ± 2 1.7 ± 0.3 98 ± 28
29 4.7 ± 2 1.76 ± 0.27 92 ± 14
31 4.4 ± 2 1.54 ± 0.15 92 ± 19
33 6 ± 3 93 ± 12
Carpentier - Edwards pericardial stented Bioprosthesis 27 3.6 1.6 100
29 5:25 2:36 ± 1.67 ± 0.3 110 ± 15
31 4:05 1:53 ± 0.83 ± 0.1 90 ± 11
23 1.0 0.8 80
Hancock I ( or NOS ) stented bioprosthesis 27 10 ± 4 5 ± 2 1.3 ± 0.8
29 7 ± 3 2:46 ± 0.79 115 ± 20 1.5 ± 0.2
31 4 ± 0.86 4.86 ± 1.69 95 ± 17 1.6 ± 0.2
33 3 2 ± 3.87 ± 2 90 ± 12 1.9 ± 0.2
Hancock II stented bioprosthesis 27 2:21 ± 0:14
29 2.77 ± 0:11
31 2.84 ± 0.1
33 3:15 ± 0:22
Hancock pericardial stented bioprosthesis 29 2.61 ± 1:39 1:42 ± 0:14 105 ± 36
31 3:57 1:02 1:51 ± 0:27 ± 81 ± 23
Ionescu - Shiley stented bioprosthesis 25 4.87 ± 1.43 ± 1:08 ± 0:15 93 11
27 3:21 1:31 ± 0:24 ± 0.82 100 ± 28
29 3:22 0:57 ± 1:38 ± 0.2 85 ± 8
31 ± 0.9 1.45 ± 3.63 100 ± 36 00:06
Ionescu - Shiley low profile stented bioprosthesis 29 3:31 1:36 ± 0.96 ± 0.25 80 ± 30
31 2.74 ± 0:37 1:33 ± 0:14 ± 79 15
Stented pericardial bioprosthesis Labcor - Santiago 25 8.7 4.5 97 2.2
27 5.6 ± 2.3 2.8 ± 1.5 85 ± 18 ± 2:12 0:48
29 ± 6.2 2.1 ± 1.3 80 ± 3 34 ± 0.73 2:11
Medtronic Intact Porcine stented bioprosthesis 29 3.5 ± 1.6 ± 0:51 0:22
31 ± 4.2 1.6 ± 1:44 0:26
33 4 ± 1.3 1.4 ± 0:24
35 3.2 ± 1.77 1.3 ± 0.5
Stented bioprosthesis Mitroflow 25 6.9 2.0 90
27 3:07 0.91 ± 1.5 90 ± 20
29 ± 3.5 1.43 ± 1.65 102 ± 21 12:29
31 3.85 ± 0.81 91 ± 1:32 ± 0:26 22
Stentless quadrileaflet bovine pericardial bioprosthesis Stentless 26 2.2 1.7 ± 1.6 103 ± 31 1.7
28 1:58 ± 0.25 1.7 ± 0.6
30 1:42 0:32 ± 2.3 ± 0.4
Wessex Stented bioprosthesis 29 3.69 ± 0.61 1.66 ± 0.17 83 ± 19
31 3.31 ± 0.83 1.41 ± 0.25 80 ± 21

Related valve dysfunction in bioprostheses

In Stentless bioprosthesis proximal joint of the prosthesis may loosen , causing blood between aortic wall and valve can come . When valve thrombosis there arises an increase in the gradient and an increase in the back flow (leakage) due to the larger mass, to enable the valve closes slowly.

References

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  1. Error fetching PMID 19733789: [1]
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