Echopedia

Biological

Revision as of 23:31, 3 January 2014 by Nilofer (talk | contribs)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

Biological prosthetic valves

Normal values for Biological Aortic Valve Prosthesis[1]
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[1]
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 ± 0.83 1.53 ± 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 ± 1.08 1.43 ± 0.15 93 ± 11
27 3.21 ± 0.82 1.31 ± 0.24 100 ± 28
29 3.22 ± 0.57 1.38 ± 0.2 85 ± 8
31 3.63 ± 0.9 1.45 ± 0.06 100 ± 36
Ionescu - Shiley low profile Stented bioprosthesis 29 3.31 ± 0.96 1.36 ± 0.25 80 ± 30
31 2.74 ± 0.37 1.33 ± 0.14 79 ± 15
Labcor-Santiago pericardial Stented bioprosthesis 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 3 ± 1.3 80 ± 34 2.11 ± 0.73
Medtronic Intact Porcine Stented bioprosthesis 29 3.5 ± 0.51 1.6 ± 0.22
31 4.2 ± 1.44 1.6 ± 0.26
33 4 ± 1.3 1.4 ± 0.24
35 3.2 ± 1.77 1.3 ± 0.5
Mitroflow Stented bioprosthesis 25 6.9 2.0 90
27 3.07 ± 0.91 1.5 90 ± 20
29 3.5 ± 1.65 1.43 ± 0.29 102 ± 21
31 3.85 ± 0.81 1.32 ± 0.26 91 ± 22
Stentless quadrileaflet bovine pericardial Stentless bioprosthesis 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

  1. Zoghbi WA, Chambers JB, Dumesnil JG, Foster E, Gottdiener JS, Grayburn PA, Khandheria BK, Levine RA, Marx GR, Miller FA Jr, Nakatani S, Quiñones MA, Rakowski H, Rodriguez LL, Swaminathan M, Waggoner AD, Weissman NJ, Zabalgoitia M, American Society of Echocardiography's Guidelines and Standards Committee, Task Force on Prosthetic Valves, American College of Cardiology Cardiovascular Imaging Committee, Cardiac Imaging Committee of the American Heart Association, European Association of Echocardiography, European Society of Cardiology, Japanese Society of Echocardiography, Canadian Society of Echocardiography, American College of Cardiology Foundation, American Heart Association, European Association of Echocardiography, European Society of Cardiology, Japanese Society of Echocardiography, and Canadian Society of Echocardiography. Recommendations for evaluation of prosthetic valves with echocardiography and doppler ultrasound: a report From the American Society of Echocardiography's Guidelines and Standards Committee and the Task Force on Prosthetic Valves, developed in conjunction with the American College of Cardiology Cardiovascular Imaging Committee, Cardiac Imaging Committee of the American Heart Association, the European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography and the Canadian Society of Echocardiography, endorsed by the American College of Cardiology Foundation, American Heart Association, European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography, and Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2009 Sep;22(9):975-1014; quiz 1082-4. DOI:10.1016/j.echo.2009.07.013 | PubMed ID:19733789 | HubMed [1]
Retrieved from "https://echopedia.org/index.php?title=Biological&oldid=7121"