LLEGA A LA ARGENTINA LA EVOLUCIÓN DE LA ÚNICA VÁLVULA SIN SUTURAS PERCEVAL PLUS

Perceval Plus cuenta con un diseño distintivo construido alrededor de un stent superelástico que se autoexpande en su lugar (sin necesidad de anudar las suturas), lo que garantiza un sellado óptimo de la válvula².

El stent de Nitinol permite que Perceval Plus siga el movimiento fisiológico de la raíz aórtica durante el ciclo cardíaco, imitando la válvula nativa^{10, 11}.

DISEÑADO PARA CIRUGÍAS DE VÍA RÁPIDA

La cirugía fast-track y la ERAS (Enhanced Recovery After Surgery) han demostrado muchos beneficios tanto para el paciente ^{18, 20} como para el hospital ^{18, 20, 23}.

Se espera que el diseño único de Perceval Plus y sus beneficios clínicos comprobados ^{2, 17} mejoren aún más las ventajas de los protocolos fast-track y ERAS.

En comparación con las válvulas convencionales Perceval Plus ha demostrado muchas ventajas tanto en la esternotomía completa como en los abordajes MICS ^{12, 13, 17}.

REFERENCIAS:

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2. M. Glauber et al. "International Expert Consensus on Sutureless and Rapid Deployment Valves in Aortic Valve Replacement Using Minimally Invasive Approaches." Innovations (Phila). 2016 May-Jun;11(3):165-73.

3. Meuris B. et al. "A novel tissue treatment to reduce mineralization of bovine pericardial heart valves." J Thorac Cardiovasc Surg. 2018 Jul;156(1):197-206.

4. Shrestha et al. "European multicentre experience with the sutureless Perceval valve: clinical and haemodynamic outcomes up to 5 years in over 700 patients." Eur J Cardiothorac Surg. 2015; 1–8.

5. Vallana et al. "Carbofilm: Present and Future Applications in Biomedical Devices." Ceramics International 1993;19:169-179.

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8. Bejko et al. "Morphologic investigation on Perceval S, a sutureless pericardial valve prosthesis: Collagen integrity after collapsing-ballooning and structural valve deterioration at distance." Journal of Cardiology (2021). https://doi.org/10.1016/j.ijcard.2021.07.050

9. Lamberigts M. et al. "Sutureless aortic valves in isolated and combined procedures: 13 years of experience in 784 patients." J Thorac Cardiovasc Surg. (2022). doi: https://doi.org/10.1016/j.jtcvs.2022.09.053.

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11. Solinas et al. "Right anterior mini-thoracotomy and sutureless valves: the perfect marriage." Ann Cardiothorac Surg 2020;9(4):305-313.

12. Gersak B. et al. "Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel." European Journal of Cardio-Thoracic Surgery (2015) 1–10. doi:10.1093/ejcts/ezv369.

13. Fischlein T. et al. "Sutureless versus conventional bioprostheses for aortic valve replacement in severe symptomatic aortic valve stenosis." J Thorac Cardiovasc Surg. 2021 Mar;161(3):920-932.

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15. M. Glauber et al. "Minimally Invasive Aortic Valve Replacement With Sutureless Valves: Results From an International Prospective Registry." Innovations 2019, 15(2), 120–130.

16. Szecel et al. "Perceval sutureless aortic valve implantation: mid-term outcomes." The Annals of Thoracic Surgery, Volume 111, Issue 4, April 2021, Pages 1331-1337.

17. Powell R. et al. "The Perceval Sutureless Aortic Valve: Review of Outcomes, Complications, and Future Direction." Innovations 2017 May/Jun;12(3):155-173.

18. Williams et al. "One-year results from the first US-based enhanced recovery after cardiac surgery (ERAS Cardiac) program." J Thorac Cardiovasc Surg. 2019;157(5):1881–8.

19. Fleming et al. "Aggregation of Marginal Gains in Cardiac Surgery: Feasibility of a Perioperative Care Bundle for Enhanced Recovery in Cardiac Surgical Patients." Journal of Cardiothoracic and Vascular Anesthesia, Vol 30, No 3 (June), 2016: pp 665–670.

20. Zaouter et al. "Reduced Length of Hospital Stay for Cardiac Surgery-Implementing an Optimized Perioperative Pathway: Prospective Evaluation of an Enhanced Recovery After Surgery Program Designed for Mini-Invasive Aortic Valve Replacement." J Cardiothoracic and Vascular Anesthesia, 2019 Nov;33(11):3010-3019.

21. Li et al. "Enhanced recovery after surgery pathway for patients undergoing cardiac surgery: a randomized clinical trial." Eur J Cardiothorac Surg 2018;54:491–7.

22. Petersen et al. "Economic impact of enhanced recovery after surgery protocol in minimally invasive cardiac surgery." BMC Health Services Research (2021) 21:254.

23. Yazdchi et al. "Enhanced Recovery After Cardiac Surgery: A Propensity-Matched Analysis." Semin Thorac Cardiovasc Surg. 2021 Jun 2;S1043-0679(21)00261-6.

24. Pollari F. et al. "Better short-term outcome by using sutureless valves: a propensity-matched score analysis." Ann Thorac Surg. 2014 Aug;98(2):611-6; discussion 616-7.

25. Minami et al. "Hospital Cost Savings and Other Advantages of Sutureless vs Stented Aortic Valves for Intermediate-Risk Elderly Patients." Surgery Today 2017 Apr 6. doi: 10.1007/s00595-017-1516-8.

26. Laborde et al. "Sutureless Valves Reduce Hospital Costs Compared to Traditional Valves." JHVD Jan 2017, 26(1):1-8.

27. Panagiotopoulos et al. "Perceval S, sutureless aortic valve: cost-consequence analysis." Kardiochir Torakochirurgia Pol 2022 Mar;19(1):22-2.