Publication:
Surgical Technology International XX - Cardiovascular Surgery
Article title:

Update on Technologies for Cardiac Valvular Replacement, Transcatheter Innovations, and Reconstructive Surgery


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Author(s)

W. R. Eric Jamieson, MD, FRCS (C), FACS, FACC
Professor of Surgery and Senior Associate in Cardiac Surgery
University of British Columbia
Vancouver, Canada

 

Abstract
Since the 2006 Surgical Technology International monograph on valvular prostheses, there have been significant developmental and investigative advances, particularly for transcatheter implantation. Aortic bioprostheses and mechanical prostheses continue to incorporate design changes to optimize hemodynamics and prevent prosthesis-patient mismatch and to have a potential satisfactory influence on survival. There have been continual technological improvements striving to bring forward advances that improve the durability of bioprostheses and reduce the thrombogenicity of mechanical prostheses. There also has been a continuance to preserve biological tissue with glutaraldehyde, rather than clinically evaluate other cross-linking technologies, by controlling or retarding calcification with therapies to control phospholipids and residual aldehydes. The techniques of mitral valve reconstruction have now been well established, and annuloplasty rings have been designed for the potential of maintaining the anatomical and physiological characteristics of the mitral annulus. There has been limited advancement in the past four years for interventional annuloplasty, for remodeling of the length and shape of the dilated annulus, prevention of dilatation of the annulus, and support for the potentially fragile area after partial-leaflet resection. Currently, there continues to be emergence of catheter-based therapies, particularly for management of aortic stenosis but not mitral regurgitation. For management of selected populations with critical aortic stenosis, the techniques for aortic valve substitution have had further advancement for retrograde catheter techniques, as well as apical transventricular implantation. There has not been significant advancement during the past four years to address mitral regurgitation by experimental transcoronary sinus, stent-like devices and transventricular, edge-to-edge leaflet devices. The devices, descriptions, and pictorial images comprising this monograph have been limited to technologies that are considered to be predominant, at least for the immediate duration. The general purpose of the monograph is to serve as an educational document.

 

 

Products featured in the Article:

 

Bioprosthesis

Carpentier-Edwards SAV
Carpentier-Edwards PERIMOUNT

Carpentier-Edwards PERIMOUNT Magna and Magna Ease

Edwards Prima Plus

Hancock II
Hancock II Ultra
Medtronic Mosaic
Medtronic Mosaic Ultra
Medtronic Freestyle
Medtronic-Venpro Contegra Pulmonary Valved Conduit

St. Jude Medical Epic
St. Jude Medical Epic Supra

St. Jude Medical Trifecta
Sorin Pericarbon MORE
Sorin Pericarbon Freedom
Sorin Pericarbon Freedom Solo
Sorin Soprano
Sorin-Mitroflow
Pulmonary Autograft
CryoValve Aortic & Pulmonary Valve with / without Conduit
CryoValve Mitral

Vascutek Aspire
Vascutek Elan
Vascutek Root Elan
Vascutek Biovalsalva
Vascutek RVOT Root
Medtronic 3f Stentless Equine
BioIntegral Surgical

 

Prosthesis
St. Jude Medical Mechanical Prosthesis (HP & Regent)
CarboMedics Mechanical (Top Hat, Optiform & Orbis)

Sorin Bicarbon Mechanical (Slimline & Overline)
ATS Open Pivot AP Mechanical
On-X Mechanical

St. Jude Medical Masters Aortic Valved Graft
CarboMedics Carbo-Seal Aortic Valved Graft
CarboMedics Carbo-Seal Valsalva Aortic Valved Graft

 OnX AAP Valved Graft

Edwards SAPIEN Transcatheter &Transapical
Edwards SAPIEN XT Transcatheter & Transapical
Medtronic CoreValve Transcatheter
Medtronic Engager Transapical
Medtronic Melody Pulmonary Valve & Right Sided Valve Conduit Replacement
Medtronic ENABLE I Transaortic
Medtronic ENABLE II Transaortic
Sorin Perceval S Transaortic

MitraClip Percutaneous Mitral Valve Repair System

Myocar Coapsys Transventricular Remodeling

 

Transcatheter, Transventricular, and Transaortic Heart Valve Therapies

Carpentier-Edwards Classic Annuloplasty Rings Carpentier-Edwards Physio II Annuloplasty Ring Cosgrove-Edwards Annuloplasy System Carpentier-McCarthy-Adams IMR ETlogix Annuloplasty Ring Edwards GeoForm Ring Edwards MC3 Annuloplasty System Medtronic-Duran AnCore Flexible Annuloplasty Ring Medtronic-Duran AnCore Flexible Annuloplasty Band Medtronic CG Future Ring Medtronic CG Future Band Medtronic Profile 3D Ring Medtronic Simulus SR Ring, Band & Adjustable Ring Medtronic Simplici-T Annuloplasty System St. Jude Medical Sequin Annuloplasty Ring St. Jude Medical Tailor Annuloplasty Ring St. Jude Medical Rigid Saddle Annuloplasty Ring St Jude Medical Attune Mitral Annuloplasty Ring Sorin-CarboMedics Annulo Flo Annuloplasty Ring Sorin-CarboMedics Annulo Flex Annuloplasty Ring Sorin Sovering Annuloplasty Rings Sorin Memo 3-D Annuloplasty Ring Genesee Sculptor Annuloplasty Ring Vascutek MRS (Mitral Repair System)