SynthesisAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2023
Conventional Prostheses versus Sutureless Perceval for Aortic Valve Replacement: A Meta-Analysis.
Synthesis in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Medium-term results and the impact of structural valve deterioration of Trifecta versus Perceval bioprostheses: analysis from the Perfecta study.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026Article
- Continuous suture technique for aortic valve replacement in patients with small aortic annulus.Journal of thoracic disease · 2026Article
- Surgical Treatment of Severe Aortic Stenosis: Sutureless Versus Stented Bioprosthetic Aortic Valve Replacement.Journal of clinical medicine · 2025Article
- Aortic annulus reconstruction with bovine pericardium during aortic valve replacement for severe calcific aortic stenosis.Journal of cardiothoracic surgery · 2025Article
- Sutureless aortic valve and post-operative atrial fibrillation: Five-year outcomes from a propensity matched cohort study.World journal of cardiology · 2025Article
- Comparison of Sutureless and Sutured Aortic Valve Replacements in Patients with Redo Infective Endocarditis.Medicina (Kaunas, Lithuania) · 2024Article
- Perceval sutureless bioprosthesis versus Trifecta sutured bioprosthesis for aortic valve replacement: immediate results of theKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2024Article
- Totally endoscopic concomitant aortic and mitral valve surgery in junctional epidermolysis bullosa: a case report.Journal of cardiothoracic surgery · 2024Article
- Less Is More? Combined Approaches to Improve Mortality and Morbidity after Aortic Valve Replacement.Biomedicines · 2023Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePerceval sutureless valves have gained popularity. Whether this implant performs superior to the traditional sutured prosthesis remains unclear. This meta- analysis compared the Perceval implants versus the sutured conventional valves for aortic valve replacement (AVR).
methodsThis meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The following databases were accessed: PubMed, Google Scholar, Web of Science, Scopus, and EMBASE. All clinical investigations comparing Perceval versus the conventional prostheses for AVR were considered.
resultsThe Perceval group demonstrated higher rate of pacemaker implantation (P <0.00001). Aortic cross-clamp (ACC) time (P <0.00001) and cardiopulmonary bypass (CPB) time (P <0.00001) were shorter in the Perceval group. Similarity was found in mean and peak pressure gradient (P = 0.8 and P = 0.2, respectively), mean aortic valve area (P = 0.3), length of intensive care unit (P = 0.4) and hospital stay (P = 0.2), rate of revision (P = 0.11), hemorrhages (P = 0.05), paravalvular leak (P = 0.3), cerebrovascular complication (P = 0.7), and early mortality (P = 0.06).
conclusionGiven the shorter ACC time and CPB time, Perceval AVR can be an alternative in high-risk patients. The higher rate of pacemaker implantation following Perceval may limit its routine implantation.
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