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Perceval

Cover_image_Perceval.jpg

 

Perceval is the 100% sutureless valve for aortic valve replacement. It is designed to be highly versatile and suitable for a wide range of surgical approaches, including traditional and minimally invasive.

THE BIOLOGICAL VALVE OF CHOICE IN AVR 

• The truly sutureless solution in AVR:
    Perceval helps reducing complexity even in challenging and time consuming procedures52,62
 
• With a reproducible surgical technique:
    Perceval allows precise positioning both in MICS and traditional surgery45,62
 
• At your side in every day practice:
    Perceval is a valuable option to reduce post-operative complications1,52,62

 

IM-00422 B

Features

INNOVATION STARTS AT ITS CORE

 

A distinctive design built around a super elastic stent with unique features and mechanical behavior.

STENT ELASTICITY

 

•  The elastic structure aims at reproducing the stress absorption properties of the native tissue at the 
    valve commissures level.

•  The Perceval valve passed a test 3 times harder than what is required by the I.S.O. and F.D.A. 
    guidance (no failure after 600 million cycles)

•  The Perceval stent is able to adapt to the movements of the aorta during the cardiac cycle.

INNOVATION AND HERITAG

 

The Perceval tissue component is based on a double sheet design introduced by Sorin in 1985. It has shown excellent results in terms of durability.37,22

 

 

 

 

COLLAPSING, NOT CRIMPING

 

Examination of the results after collapsing and deployment revealed optimal cusp cooptation and absence of tears, perforation or folding.32 

 

 

 

 

 

 

 

 

 

 

REDUCED PHYSIOLOGIC IMPACT OF OPERATION

 

•    Increased visualization: the reduced collapsed profile prevents damage  to the aortic wall enabling a full and direct view.

•    Precise positioning: the temporary guiding sutures guide the valve along the annulus axis even in narrow spaces.

•    Ease of implant: traditional valves require from 15 to 18 permanent sutures. Perceval is a truly sutureless valve.


“Atraumatic insertion of the device with self-anchoring of the prosthetic valve into its final position, minimizing the risk for iatrogenic aortic dissection or thromboembolic stroke”52

 

 

 

 

REFERENCES

 

1. Shrestha M. 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 Mar 6. pii: ezv040.

18. Phan K. et al. - Sutureless aortic valve replacement: a systematic review and meta-analysis. - Annals of cardiothoracic surgery, Apr 27, 2014

22. Michael O. et al. - Thourani Invited Commentary for: “Minimally invasive aortic valve replacement with Perceval S sutureless valve: Early outcomes and one-year survival from two European centers”. - The Journal of Thoracic and Cardiovascular Surgery, Available online 6 October 2014, Pages 

32. Della Barbera M. - Pre-implantation collapse in the Sorin Perceval S Sutureless prosthesis does not affect pericardial graft structure. - Cardiovascular pathology

45. Gilmanov D. et al. - Sutureless implantation of the perceval s aortic valve prosthesis through right anterior minithoracotomy. - Ann Thorac Surg. 2013 Dec;96(6):2101-8.

52. Santarpino G. et al. - The Perceval S Aortic Valve Has the Potential of Shortening Surgical Time: Does It Also Result in Improved Outcome? - Ann Thorac Surg. 2013 May 11.

62. Santarpino G. et al. - Sutureless Aortic Valve Replacement: First-Year Single-Center Experience. - Ann Thorac Surg 2012;94:504 –9

66. Folliguet TA. et al. - Sutureless perceval aortic valve replacement: results of two European centers. - Ann Thorac Surg. 2012 May;93(5):1483-8

 

FOR CARDIOLOGISTS

DESIGNED TO PROVIDE IMPROVED PATIENT OUTCOMES

 

Perceval provides significant clinical benefits for the patients: 

Reduced physiologic Impact of operation
Perceval features a distinctive design built around a superelastic stent, with unique features and mechanical behavior. The elasticity and shape of the stent are designed to:

•    Collapse the valve for atraumatic and precise positioning
•    Facilitate minimally invasive procedures
•    Provide stress reduction effect at the valve commissures level potentially enhancing valve durability


MICS approaches

 

Optimized blood flow

Thanks to the absence of a suturing ring, the geometric orifice area is maximized providing excellent hemodynamics.

 

 

 

 

 

Following the heart movement

The superelastic stent of Perceval adapts to the anatomy of the aorta during the whole cardiac cycle, enhancing valve hemodynamic performance and adapting to different patient needs.

 

YouTube video: -mEfxlq8jNY

 

Excellent clinical outcomes and faster recovery

As demonstrated in the large pool of published clinical data, Perceval provides excellent clinical results,  comparable to the current gold standard, and provides additional benefits in terms of smoother post operative course and  faster recovery for the patient:

•    Shorter ischemic times (61% reduction) and ECC times. 
•    Lower mortality rates (< 3% even in older patients) 2
•    Low early 30 days mortality (1.9%)
•    Low major early paravalvular leak (1.4%) 
•    Low early stroke (1.6%)
•    100% Freedon from SVD at 5 years 
•    Reduction of ICU stay (-49%)
•    Reduction of ventilation time (-62%)
•    Less blood transfusion (-42%)

 

Evidence

HEMODYNAMICS

CLINICAL OUTCOMES

 

•    No thrombosis
•    No post-operative migrations
•    No structural valve deterioration
•    Early cardiac mortality 1.9% (late 1.4%)
•    Survival @ 5 years 74.7%
•    Early AV Block III leading to PM implantation 6% (late 1.4%)
•    Early major stroke 1.6% (late 0.8%)
•    Early major paravalvular leak 1.4% (late 1%)

References

 

1. Shrestha M. 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 Mar 6. pii: ezv040.

45.    Gilmanov D. et al. - Sutureless implantation of the perceval s aortic valve prosthesis through right anterior minithoracotomy. - Ann Thorac Surg. 2013 Dec;96(6):2101-8.

52.    Santarpino G. et al. - The Perceval S Aortic Valve Has the Potential of Shortening Surgical Time: Does It Also Result in Improved Outcome? - Ann Thorac Surg. 2013 May 11.

62.    Santarpino G. et al. - Sutureless Aortic Valve Replacement: First-Year Single-Center Experience. - Ann Thorac Surg 2012;94:504 –9

 

BIBLIOGRAPHY

 

2016

  1. M. Glauber et al. - Minimally invasive aortic valve replacement with sutureless valve is the appropriate treatment option for high-risk patients and the ‘‘real alternative’’ to transcatheter aortic valve implantation - EDITORIAL: ACQUIRED: AORTIC VALVE J Thorac Cardiovasc Surg 2016;151:610-3
  2. O’Sullivan KE et al. - Advances in the management of severe aortic stenosis - Ir J Med Sci. 2016 Feb 17 (Journal of Medical Science)
  3. Baikoussis NG et al. - Perceval S aortic valve implantation in an achondroplastic Dwarf - Ann Card Anaesth. 2016 Jan-Mar;19(1):166-8. doi: 10.4103/0971-9784.173041
  4. Forcillo J et al. - Perioperative outcomes with sutureless versus stented biological aortic valves in elderly persons. - J Thorac Cardiovasc Surg. 2016 Jan 13. pii: S0022-5223(16)00035-0. doi: 10.1016/j.jtcvs.2015.12.056
  5. Santarpino G. et al. - Transcatheter valve-in-valve implantation and sutureless valve replacement: two strategies for one goal in REDO patients - Minerva Cardioangiol. 2016 Feb 9. [Epub ahead of print]
  6. Tagaki et al. - Midterm Mortality After Transcatheter Aortic Valve Implantation Versus Sutureless Aortic Valve Replacement.- Am J Cardiol. 2016 Feb 1;117(3):490-1.
  7. Moriggia S. et al. - Bioprotesi Valvolari aortiche sutureless - Minerva

2015

  1. 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 
  2. Santarpino G. et al.- Clinical Outcome and Cost Analysis of Sutureless Versus Transcatheter Aortic Valve Implantation With Propensity Score Matching Analysis - Am J Cardiol. 2015 Sep 10. pii: S0002-9149(15)01925-6. doi: 10.1016/j.amjcard.2015.08.043
  3. Glauber M et al. - Minimally invasive Aortic valve replacement and sutureless valve are the “really alternative” to transcatheter aortic valve implantation for high-risk patients - The Journal of Thoracic and Cardiovascular Surgery
  4. Margaryan R et al. - Sutureless Aortic Valve Prosthesis Sizing: Estimation and Prediction Using Multidetector-Row Computed Tomography - Innovations (Phila). 2015 Jul-Aug;10(4):230-5. doi: 10.1097/IMI.0000000000000182
  5. Takagi H. et al. - Sutureless aortic valve replacement may improve early mortality compared with transcatheter aortic valve implantation: A meta-analysis of comparative studies. - J Cardiol. 2015 Oct 14. pii: S0914-5087(15)00296-8. doi: 10.1016/j.jjcc.2015.09.009
  6. Muneretto et al. - A comparison of conventional surgery, transcatheter aortic valve replacement, and sutureless valves in “real-world” patients with aortic stenosis and intermediate- to high-risk profile - J Thorac Cardiovasc Surg. 2015 Aug 24
  7. Mazine A. et al. - Sutureless Aortic Valve Replacement in the Setting of Triple-Valve Surgery. - Innovations (Phila). 2015 Jul-Aug;10(4):291-3
  8. Kim JH. - Sutureless aortic valve replacement in stentless bioprosthesis failure. - Interact Cardiovasc Thorac Surg. 2015 Sep 7. pii: ivv255. [Epub ahead of print]
  9. Glauber M. et al. - Dealing with a stenotic bicuspid aortic valve: Is this still an off-label procedure for a sutureless valve? - J Thorac Cardiovasc Surg. 2015 Jul 18. pii: S0022-5223(15)01267-2. doi: 10.1016/j.jtcvs.2015.07.049
  10. Vola M. - Robotic total endoscopic sutureless aortic valve replacement: proof of concept for a future surgical setting. - Int J Med Robot. 2015 Aug 18. doi: 10.1002/rcs.1694
  11. Laborde F et al. - Clinical and haemodynamic outcomes in 658 patients receiving the Perceval sutureless aortic valve: early results from a prospective European multicentre study (the Cavalier Trial). - Eur J Cardiothorac Surg. 2015 Aug 4. pii: ezv257
  12. Moriggia S. et al. - Aortic Sutureless Perceval Valve for Small Root in Concomitant Mitral Valve Replacement - The Journal of Heart Valve Disease 2015;24:187-189
  13. Fischlein T. et al. - Sutureless Valve Implantation via Mini J-Sternotomy: A Single Center Experience with 2 Years Mean Follow-up. - Thorac Cardiovasc Surg. 2015 Jul 15
  14. Lio A. et al. - Initial Experience with Sutureless Sorin Perceval S Aortic Prosthesis for the Treatment of Prosthetic Valve Endocarditis. - Thorac Cardiovasc Surg. 2015 Jul 15
  15. Christ T. et al. - Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy - THORAC CARDIOV SURG Reports DOI: 10.1055/s-0035-1554991
  16. Miceli A. et al. - Minimally invasive aortic valve replacement with a sutureless valve through a right anterior minithoracotomy versus transcatheter aortic valve implantation in high-risk patients. - Eur J Cardiothorac Surg. 2015 Jun 25. pii: ezv210
  17. Nguyen A. et al. - Feasibility and Outcomes of Sutureless Aortic Valve Replacement in Patients with Bicuspid Aortic Valves - The Journal of Thoracic and Cardiovascular Surgery
  18. International Valvular Surgery Study Group (IVSSG) - Sutureless Aortic Valve Replacement International Registry (SU-AVR-IR): design and rationale from the International Valvular Surgery Study Group (IVSSG). - Ann Cardiothorac Surg. 2015 Mar;4(2):131-9. doi: 10.3978/j.issn.2225-319X.2015.02.05
  19. Di Eusanio M. et al. - Sutureless aortic valve replacement. - Ann Cardiothorac Surg. 2015 Mar;4(2):123-30. doi:10.3978/j.issn.2225-319X.2015.02.06
  20. Capestro et al. - Sutureless aortic valve prosthesis in a calcified homograft - J Thorac Cardiovasc Surg. 2015 Apr 21. pii: S0022-5223(15)00652-2. doi: 10.1016/j.jtcvs.2015.04.025. [Epub ahead of print]
  21. Glauber M. - Encouraging durability results for Perceval S Aortic Valve: the new gold standard for AVR? - JTCVS - DOI: 10.1016/j.jtcvs.2015.04.047
  22. Biancari F. et al. - Immediate Outcome after Sutureless versus Transcatheter Aortic Valve Replacement - Heart Vessels. 2015 Jan 9. [Epub ahead of print]
  23. Čanádyová et al. - Calcified aortic homograft and sutureless valves - Cor et Vasa (2015), http://dx.doi.org/10.1016/j.crvasa.2015.02.001
  24. Concistrè G. et al. - Left Ventricular Mass Regression After Two Alternative Sutureless Aortic Bioprostheses. - Innovations (Phila). 2015 Mar 21 Dalén
  25. Dalén M. et al. - Ministernotomy versus full sternotomy aortic valve replacement with a sutureless bioprosthesis: a multicenter study. - Ann Thorac Surg. 2015 Feb;99(2):524-30
  26. Dalén M. et al. - Aortic valve replacement through full sternotomy with a stented bioprosthesis versus minimally invasive sternotomy with a sutureless bioprosthesis - Eur J Cardiothorac Surg. 2015 Feb 3. pii: ezv014. [Epub ahead of print]
  27. Villa E.  et al. - Challenge for perceval: aortic valve replacement with small sutureless valves-a multicenter study. - Ann Thorac Surg. 2015 Apr;99(4):1248-54. doi: 10.1016/j.athoracsur.2014.09.090. Epub 2015 Feb 7. PubMed PMID: 25661579
  28. Di Eusanio M. et al. - In the era of the valve-in-valve: is TAVI in sutureless valves feasible? - Ann Cardiothorac Surg. 2015 Mar;4(2):214-7
  29. Durand E. et al. - Emergency transcatheter aortic valve implantation for acute and early failure of sutureless Perceval aortic valve - Canadian Journal of Cardiology (2015), doi: 10.1016/j.cjca.2015.02.011
  30. Gilmanov D.S. et al. - Sutureless Aortic Valve Replacement for Aortic Incompetence. - J Card Surg. 2015 Mar 12
  31. Glauber M. et al. - Minimally invasive aortic valve surgery: state of the art and future directions - Ann Cardiothorac Surg 2015 Jan;4(1):26-32
  32. Mazine A. et al. - Sutureless aortic valve replacement: a Canadian multicentre study. - Can J Cardiol. 2015 Jan;31(1):63-8
  33. Meuris B. et al. - Five year results of the pilot trial of a sutureless valve - J Thorac Cardiovasc Surg 2015
  34. Misfeld M. - Minimally invasive aortic valve replacement using the Perceval S sutureless valve. - Ann Cardiothorac Surg. 2015 Mar;4(2):203-5
  35. Muneretto C. et al. - Treating the patients in the ‘grey-zone’ with aortic valve disease: a comparison among conventional surgery, sutureless valves and transcatheter aortic valve replacement - Interact Cardiovasc Thorac Surg. 2015 Jan;20(1):90-5
  36. Santarpino G. et al. - Sorin Perceval S aortic valve implantation through a mini-sternotomy approach. - Ann Cardiothorac Surg. 2015 Mar;4(2):191-2
  37. Shrestha M. - Do we need sutureless/self-anchoring aortic valve prostheses? - Ann Cardiothorac Surg. 2015 Mar;4(2):175-7
  38. Shrestha M. 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 Mar 6
  39. Sjatskig J. et al. - Successful Valve-in-valve Transcatheter Aortic Valve Implantation of a Core Valve prosthesis in Sorin Perceval S valve. - white paper

2014

  1. Chandola R. et al. - Perceval Sutureless valve - are Sutureless valves here? - Curr Cardiol Rev. 2014 Nov 13
  2. Chang G. et al. - Sutureless aortic valve implantation: first experience in Asia - Singapore Med J 2014; 55(11):598-600 doi:10.11622/smedj.2014158
  3. Fleissnera F. et al. - Stent distortion after sutureless aortic valve implantation: a new complication seen with a novel surgical technique - Interactive CardioVascular and Thoracic Surgery (2014) 1–3
  4. Gilmanov D. et al. - Aortic Valve Replacement Through Right Anterior Minithoracotomy: Can Sutureless Technology Improve Clinical Outcomes? - Ann Thorac Surg. 2014 Nov; 98(5):1585-92
  5. Horvath K.A. et al. - Transapical Perceval S Sutureless Aortic Valve Implantation under MRI guidance: Acute and Short-term Results - J Thorac Cardiovasc Surg. 2014 Nov 1. pii: S0022-5223(14)01623-7. doi: 10.1016/j.jtcvs.2014.10.101
  6. Kayatta M.O. et al. - Minimally invasive Perceval S implantation: Does this fill a sizable niche between sutured and transcatheter aortic valve replacement? - J Thorac Cardiovasc Surg. 2014 Dec; 148(6):2843-4
  7. König K.C. et al. - Sutureless Perceval aortic valve in comparison with the stented Carpentier-Edwards Perimount aortic valve - J Heart Valve Dis. 2014 Mar; 23(2):253-8
  8. Miceli A. et al. - Minimally invasive aortic valve replacement with Perceval S sutureless valve: Early outcomes and one-year survival from two European centers - J Thorac Cardiovasc Surg 2014; -:1-6
  9. Michelena H.I. et al. - An Alternative for Surgical Management of Calcific Aortic Valve Stenosis: Sutureless Valve Implants - J Card Surg. 2014 Jul; 29(4):490-3
  10. Minh T.H. et al. - Expanding the Indication for Sutureless Aortic Valve Replacement to Patients with Mitral Disease - J Thorac Cardiovasc Surg. 2014 Oct; 148(4):1354-9
  11. Ouazzani et al. - Prémière étude comparative entre les trois prothèses valvulaires aortique sutureless disponibles - Chirurgie thoracique et cardio-vasculaire 2014; 18(2):89-95
  12. Phan K. Et al. - Sutureless aortic valve replacement: a systematic review and meta-analysis - Annals of cardiothoracic surgery, Apr 27, 2014
  13. 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
  14. Pollari F. et al. - Double mitro-aortic valve replacement in a high-risk patient: the sutureless way. - G Ital Cardiol (Rome). 2014 Feb;15(2):128-9
  15. Ramlawi B. et al. - Surgical Approaches to Aortic Valve Replacement and Repair-Insights and Challenges - Interventional Cardiology Review, 2014;9(1):32–6
  16. Rubino A.S. et al. - Early and intermediate outcome after aortic valve replacement with a sutureless bioprosthesis: Results of a multicenter study. - J Thorac Cardiovasc Surg. 2014 Sep;148(3):865-71
  17. Santarpino G. et al. - Use of sutureless prosthetic aortic valves in cardiac surgery. G Ital Cardiol (Rome). 2014 Mar;15(3):170-6
  18. Santarpino G. et al. - Sutureless versus transcatheter aortic valve implantation: an unresolved dilemma. - J Thorac Cardiovasc Surg. 2014 Jul;148(1):364-5
  19. Santarpino G. et al. - Sutureless replacement versus transcatheter valve implantation in aortic valve stenosis: a propensity-matched analysis of 2 strategies in high-risk patients - J Thorac Cardiovasc Surg. 2014 Feb;147(2):561-7
  20. Santarpino G. et al. - Aortenklappenersatz mit nahtfreien Herzklappenprothesen - aktueller Stand und Stellenwert in der Zukunft Aktuelle Kardiologie - 2014; 3(2): 105-112
  21. Shrestha M. et al. - Aortic Valve Replacement and Concomitant Procedures With the Perceval Valve: Results of European Trials. - Ann Thorac Surg. 2014 Oct;98(4):1294-300
  22. Soppa G. et al. - Sutureless valves in aortic stenosis. - J Thorac Cardiovasc Surg. 2014 Jul;148(1):364
  23. Tavlasoglu M et al. - Should sutureless aortic valve replacement be preferred only for decreasing aortic crossclamp time? - J Thorac Cardiovasc Surg. 2014 May;147(5):1726-7
  24. Van Boxtel A. et al. - Postoperative Conduction Disorders after Implantation of the Self-Expandable Sutureless Perceval S Bioprosthesis - The Journal of Heart Valve Disease 2014;23:319-324
  25. Zannis K. Et al. - Aortic Valve Replacement with the Perceval S Bioprosthesis: Single-Center Experience in 143 Patients - The Journal of Heart Valve Disease 2014;23:795-802 2013

2013

  1. Carrel T. et al - Recent developments for surgical aortic valve replacement: The concept of sutureless valve technology. - Open Journal of Cardiology; 4-1
  2. Concistrè G. et al. - Two alternative sutureless strategies for aortic valve replacement: a two-center experience. - Innovations (Phila). 2013 Jul-Aug;8(4):253-7. doi: 10.1097/IMI.0000000000000007. PubMed PMID: 24145969
  3. Della Barbera M. et al. - Pre-Implantation collapse in the Sorin Sutureless Prosthesis does not affect Pericardial Graft Structure - Cardiovascular pathology; 2013 28:2 (158-163)
  4. D’Onofrio A. et al. - Conventional surgery, sutureless valves, and transapical aortic valve - The Journal of thoracic and cardiovascular surgery 2013; 1-7
  5. Folliguet et al. - Sutureless Perceval Aortic Valve Replacement in Aortic Homograft - The Annals of Thoracic Surgery 2013;96:1866–8
  6. Gatti G. et al. - Aortic valve replacement within an unexpected porcelain aorta: the sutureless valve option. - Interactive CardioVascular and Thoracic Surgery (2013) 1–3, doi:10.1093/icvts/ivt494
  7. Gilmanov D. et al. - Sutureless Implantation of the Perceval S Aortic Valve Prosthesis Through Right Anterior Minithoracotomy. - The Annals of Thoracic Surgery. 2013 Volume 96, Issue 6
  8. Lorusso R. et al. - Sutureless aortic valve replacement: an alternative to transcatheter aortic valve implantation? - Current Opinion in Cardiology; Jan, 28(2):158-63
  9. Mazine A. et al. - Sutureless aortic valve replacement in the presence of a mechanical mitral prosthesis. - The Journal of Thoracic and Cardiovascular Surgery c Volume 146, Number 4
  10. Mokrá ek A. et al. - Sutureless Aortic Bioprotheses - Initial experience with Sorin Perceval S Prosthesis. - Intervencni a Akutni Kardiologie (2013) 12:3 (121-123)
  11. Raja S. - Sutureless Aortic Valve Replacement Using Perceval S Valve - Recent Patents on Cardiovascular Drug Discovery; Vol.8, No.2
  12. Santarpino G. et al. - Minimally invasive aortic valve replacement with Perceval valves: first clinical experience. - J Cardiovasc Med. 2013; doi: 10.2459/JCM.0b013e328360936a
  13. Santarpino G. et al. - Left ventricular mass regression after sutureless implantation of the Perceval S aortic valve bioprosthesis: Preliminary results. - Thoracic and Cardiovascular Surgeon (2013) 61 SUPPL. 1
  14. Santarpino G. et al. - Advanced Age Per Se Should not be an Exclusion Criterion for Minimally Invasive Aortic Valve Replacement. - The Journal of Heart Valve Disease; 22:455-459
  15. Santarpino G. et al. - The Perceval S Aortic Valve Has the Potential of Shortening Surgical Time: Does It Also Result in Improved Outcome? - The Annals of Thoracic Surgery, 96(1):77-81
  16. Santarpino et al. - REDO aortic valve replacement: the sutureless approach. - J Heart Valve Dis. Sep;22(5):615-20
  17. Shrestha M. et al. - Aortic valve replacement in geriatric patients with small aortic roots: are sutureless valves the future? - Interactive CardioVascular and Thoracic Surgery; 1–5
  18. Shrestha M. et al. - Minimally Invasive Aortic Valve Replacement with Self-Anchoring Perceval Valve. - The Journal of Heart Valve Disease; 22:230-235
  19. Varela-Lema L. et al. - Recambio valvular aórtico mediante prótesis sin sutura en pacientes con estenosis aórtica grave y alto riesgo quirúrgico: revisión sistemática - Medicina Clinica Volume 140, Issue 3, 2, Pages 119–127
  20. Villa E. et al. - Perceval Sutureless Valve in Freestyle Root: New Surgical Valve-in-Valve Therapy. - Ann Thorac Surg. 2013 Dec;96(6):e155-7. doi: 10.1016/j.athoracsur.2013.06.125. PubMed PMID: 24296228
  21. Gilmanov D. et al. - Perceval S sutureless aortic valve prosthesis implantation via a right anterior minithoracotomy. - Multimed Man Cardiothorac Surg. 2013;2013:mmt012. doi: 10.1093/mmcts/mmt012. PubMed PMID: 24413010
  22. Hajj-Chahine J. e Comment. - Incidence of patient-prosthesis mismatch in patients with a Perceval S valve. - Interact Cardiovasc Thorac Surg. 2013 Nov;17(5):782-3
  23. Santarpino G. et al. - The Perceval S aortic valve has the potential of shortening surgical time: does it also result in improved outcome? - Ann Thorac Surg. 2013 Jul;96(1):77-81

2012

  1. D’Onofrio A. et al. - Sutureless aortic valve replacement as an alternative treatment for patients belonging to the “gray zone” between transcatheter aortic valve implantation and conventional surgery: a propensity-matched, multicenter analysis. - The Journal of Thoracic and Cardiovascular Surgery; 144(5):1010-8
  2. Folliguet TA. et al. - Sutureless Perceval aortic valve replacement: results of two European centers. - The Annals of Thoracic Surgery; 93(5):1483-8
  3. Manasse E. - Sutureless aortic heart valve technology - present and future perspectives - Percutaneous Valve Technology: Present and Future. - Chapter 13, Novapublishers
  4. Najm HK. - Suture-less aortic valve replacement - Journal of the Saudi Heart Association; 24:55–56
  5. Niklewski T. et al. - Aortic valve replacement with a new sutureless aortic valve Perceval S prosthesis: 12 months of Polish experience. - Kardiochirurgia i Torakochirurgia Polska; 2:165–169
  6. Pradelli L., Zaniolo O. - Perceval sutureless valves in isolated and concomitant AVR procedures: an economic model shows overall decrease of costs for isolated or combined operations. - Farmaeconomia. Health economics and therapeutic pathways; 13(4)159-174
  7. Ranucci M. et al. - Aortic cross-clamp time, new prostheses, and outcome in aortic valve replacement. - The Journal of Heart Valve Disease; 21:732-73
  8. Santarpino G. et al. - A supra-annular malposition of the Perceval S sutureless aortic valve: the ‘X-movement’ removal technique and subsequent reimplantation - Interactive CardioVascular and Thoracic Surgery; 15(2):280-281
  9. Santarpino G. et al. - Perceval S aortic valve implantation in mini-invasive surgery: the simple sutureless solution. - Interactive CardioVascular and Thoracic Surgery; 15(3):357-60
  10. Santarpino G. et al. - Sutureless aortic valve replacement: first-year single-center experience - The Annals of Thoracic Surgery; 94:504–9
  11. Santarpino G. et al. - Sutureless aortic valve replacement Replacement to prevent PPM in the era of valve in valve implantation. - The Journal of Thoracic and Cardiovascular Surgery; Vol. 144, 1, letter to the editor
  12. Santarpino G. et al. - Sutureless valve implantation in a patient with bicuspid aortic valve - International Journal of Cardiology; 157(2):e21-2, letter to the editor
  13. Sepehripour AH. et al. - What are the current results of sutureless valves in high-risk aortic valve disease patients? - Interactive CardioVascular and Thoracic Surgery; 14(5):615-621
  14. Zannis K. et al. - New sutureless aortic valve prosthesis: another tool in less invasive aortic valve replacement. - Current Opinion in Cardiology; 27(2):125-9
  15. Santarpino G. et al. - Perceval sutureless approach in a patient with porcelain aorta unsuitable for transcatheter aortic valve implantation. - Int J Cardiol. 2012 Feb 23;155(1):168-70

2011

  1. Flameng W. et al. - Effect of sutureless implantation of the Perceval S aortic valve bioprosthesis on intraoperative and early postoperative outcomes - J Thorac Cardiovasc Surg. 2011 Dec;142(6):1453-7 
  2. Santarpino G. et al. - Perceval Sutureless aortic valve prosthesis easy fast and safe -  Innovations (Phila). 2011 Nov;6(6):378-81
  3. Al-Attar N. - Next generation surgical aortic biological prostheses: “sutureless valves” - ESC Council for Cardiology Practice; Vol. 10 No. 14

2010

  1. Stalder M. et al. - Transapical Implantation of a Novel Self-Expanding Sutureless Aortic Valve Prosthesis. - The Journal of Heart Valve Disease - Vol. 19. No. 2
  2. Suri M. et al. - Robot-Assisted Aortic Valve Replacement Using a Novel Sutureless Bovine Pericardial Prosthesis: Proof of Concept as an Alternative to Percutaneous Implantation - Innovations; 5(6):419-423

2009

  1. Folliguet T. et al. - Future of cardiac surgery: minimally invasive techniques in sutureless valve resection. - Future Cardiology; 5(5):443-52
  2. Shrestha M. et al. - Sutureless Perceval S aortic valve replacement: a multicenter, prospective pilot trial. - The Journal of Heart Valve Disease; 18(6):698-702

2008

  1. Shrestha M. et al. - A staged approach towards interventional aortic valve implantation with a sutureless valve: initial human implants. - The Journal of Thoracic and Cardiovascular Surgery; 56(7):398-400

 

 

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