Longer-Term Outcomes of the Yacoub versus Bentall Procedure in
a Nationwide Propensity-Matched Comparison

J 2024

Longer-Term Outcomes of the Yacoub versus Bentall Procedure in a Nationwide Propensity-Matched Comparison

GOFUS, Jan, Jiří JARKOVSKÝ, Anna KLECHOVA, Jaroslav HLUBOCKY, Stepan CERNY et. al.

Basic information

Original name

Longer-Term Outcomes of the Yacoub versus Bentall Procedure in a Nationwide Propensity-Matched Comparison

Authors

GOFUS, Jan, Jiří JARKOVSKÝ, Anna KLECHOVA, Jaroslav HLUBOCKY, Stepan CERNY, Martin URBAN, Pavel ZACEK and Jan VOJACEK

Edition

JOURNAL OF CARDIAC SURGERY, LONDON, WILEY-HINDAWI, 2024, 0886-0440

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 1.600 in 2022

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1155/2024/7595067

UT WoS

001259412600001

Abstract

V originále

Background. Aortic root replacement with a composite mechanical valve graft (Bentall procedure) has been a recommended strategy in patients with aortic root aneurysm with or without aortic regurgitation. Aortic root remodeling (Yacoub procedure) has emerged as a valve-sparing alternative although there is only scarce multicenter evidence. The aim of our study was to provide nationwide comparison of these two strategies. Methods. This was a retrospective study of data from national registry of cardiac surgery. Using propensity-score matching, we compared all the patients undergoing the Bentall procedure in the Czech Republic between 2010 and 2021 with patients after the Yacoub procedure from four experienced centers. Results. During the study period, 199 patients underwent Yacoub and 526 had Bentall procedure. Of those, 166 pairs were selected and compared. There was no significant difference in perioperative outcomes and in mortality (p=0.96) over the follow-up of 5.7 vs. 6.4 years. The Bentall procedure was associated with a higher risk of major bleeding or thromboembolism (p<0.001), and the Yacoub procedure led to a higher risk of rehospitalizations for valve failure (p=0.01). Conclusions. In a nationwide propensity-matched study, Bentall and Yacoub procedures yield similar longer-term survival. Yacoub offers better freedom from thromboembolism or bleeding at the cost of higher risk of valve failure.

Citovat

GOFUS, Jan, Jiří JARKOVSKÝ, Anna KLECHOVA, Jaroslav HLUBOCKY, Stepan CERNY, Martin URBAN, Pavel ZACEK and Jan VOJACEK. Longer-Term Outcomes of the Yacoub versus Bentall Procedure in a Nationwide Propensity-Matched Comparison. JOURNAL OF CARDIAC SURGERY. LONDON: WILEY-HINDAWI, 2024, vol. 2024, p. 1-10. ISSN 0886-0440. Available from: https://dx.doi.org/10.1155/2024/7595067.

@article{2418143,
   author = {Gofus, Jan and Jarkovský, Jiří and Klechova, Anna and Hlubocky, Jaroslav and Cerny, Stepan and Urban, Martin and Zacek, Pavel and Vojacek, Jan},
   article_location = {LONDON},
   doi = {http://dx.doi.org/10.1155/2024/7595067},
   language = {eng},
   issn = {0886-0440},
   journal = {JOURNAL OF CARDIAC SURGERY},
   title = {Longer-Term Outcomes of the Yacoub versus Bentall Procedure in a Nationwide Propensity-Matched Comparison},
   url = {https://onlinelibrary.wiley.com/doi/10.1155/2024/7595067},
   volume = {2024},
   year = {2024}
}

TY  - JOUR
ID  - 2418143
AU  - Gofus, Jan - Jarkovský, Jiří - Klechova, Anna - Hlubocky, Jaroslav - Cerny, Stepan - Urban, Martin - Zacek, Pavel - Vojacek, Jan
PY  - 2024
TI  - Longer-Term Outcomes of the Yacoub versus Bentall Procedure in a Nationwide Propensity-Matched Comparison
JF  - JOURNAL OF CARDIAC SURGERY
VL  - 2024
SP  - 1-10
EP  - 1-10
PB  - WILEY-HINDAWI
SN  - 08860440
UR  - https://onlinelibrary.wiley.com/doi/10.1155/2024/7595067
N2  - Background. Aortic root replacement with a composite mechanical valve graft (Bentall procedure) has been a recommended strategy in patients with aortic root aneurysm with or without aortic regurgitation. Aortic root remodeling (Yacoub procedure) has emerged as a valve-sparing alternative although there is only scarce multicenter evidence. The aim of our study was to provide nationwide comparison of these two strategies. Methods. This was a retrospective study of data from national registry of cardiac surgery. Using propensity-score matching, we compared all the patients undergoing the Bentall procedure in the Czech Republic between 2010 and 2021 with patients after the Yacoub procedure from four experienced centers. Results. During the study period, 199 patients underwent Yacoub and 526 had Bentall procedure. Of those, 166 pairs were selected and compared. There was no significant difference in perioperative outcomes and in mortality (p=0.96) over the follow-up of 5.7 vs. 6.4 years. The Bentall procedure was associated with a higher risk of major bleeding or thromboembolism (p<0.001), and the Yacoub procedure led to a higher risk of rehospitalizations for valve failure (p=0.01). Conclusions. In a nationwide propensity-matched study, Bentall and Yacoub procedures yield similar longer-term survival. Yacoub offers better freedom from thromboembolism or bleeding at the cost of higher risk of valve failure.
ER  -

GOFUS, Jan, Jiří JARKOVSKÝ, Anna KLECHOVA, Jaroslav HLUBOCKY, Stepan CERNY, Martin URBAN, Pavel ZACEK and Jan VOJACEK. Longer-Term Outcomes of the Yacoub versus Bentall Procedure in a Nationwide Propensity-Matched Comparison. \textit{JOURNAL OF CARDIAC SURGERY}. LONDON: WILEY-HINDAWI, 2024, vol.~2024, p.~1-10. ISSN~0886-0440. Available from: https://dx.doi.org/10.1155/2024/7595067.

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