无缝合主动脉瓣置换国际注册研究（SU-AVR-IR）：国际瓣膜手术研究组（IVSSG）的设计与原理
Sutureless Aortic Valve Replacement International Registry (SU-AVR-IR): design and rationale from the International Valvular Surgery Study Group (IVSSG).
作者信息
Di Eusanio Marco, Phan Kevin, Bouchard Denis, Carrel Thierry P, Dapunt Otto E, Di Bartolomeo Roberto, Eichstaedt Harald C, Fischlein Theodor, Folliguet Thierry, Gersak Borut, Glauber Mattia, Haverich Axel, Misfeld Martin, Oberwalder Peter J, Santarpino Giuseppe, Shrestha Malakh Lal, Solinas Marco, Vola Marco, Alamanni Francesco, Albertini Alberto, Bhatnagar Gopal, Carrier Michel, Clark Stephen, Collart Federic, Kappert Utz, Kocher Alfred, Meuris Bart, Mignosa Carmelo, Ouda Ahmed, Pelletier Marc, Rahmanian Parwis Baradaran, Reineke David, Teoh Kevin, Troise Giovanni, Villa Emmanuel, Wahlers Thorsten, Yan Tristan D
机构信息
1 Cardiac Surgery Department, Sant'Orsola Malpighi Hospital, University of Bologna, Italy ; 2 The Collaborative Research (CORE) Group, Macquarie University, Sydney, Australia ; 3 Montreal Heart Institute, Montréal, Canada ; 4 Hopital Universitaire de Berne, Berne, Switzerland ; 5 University Hospital Graz, Graz, Austria ; 6 European Medical School Oldenburg-Groningen, Klinikum Oldenburg, Germany ; 7 Cardiovascular Center, Paracelsus Medical University, Nuremberg, Germany ; 8 Centre Hospitalier Universitaire de Nancy, Université de Lorraine, Nancy, France ; 9 University Medical Center Ljubljana, Ljubljana, Slovenia ; 10 Istituto Clinico Sant'Ambrogio, Clinical & Research Hospitals IRCCS Gruppo San Donato, Milan, Italy ; 11 Hannover Medical School, Hannover, Germany ; 12 University of Leipzig, Leipzig, Germany ; 13 Pasquinucci Heart Hospital, Massa, Italy ; 14 Cardiovascular Surgery Unit, St-Etienne University Hospital; 15 Milan Institute, Monzino, Italy ; 16 Salus Hospital, GVM Care & Research, Reggio Emilia, Italy ; 17 Trillium Health Center, Mississauga, Canada ; 18 Freeman Hospital, Cardiothoracic Centre, Newcastle, UK ; 19 Hopital de la Timone, Marsielle, France ; 20 Dresden Heart Center, Department of cardiac surgery, Dresden University Hospital, Dresden, Germany ; 21 Medical University Vienna, Vienna, Austria ; 22 Gasthuisberg, Cardiale Heelkunde, Leuven, Belgium ; 23 Ferrarotto Hospital, University of Catania, Catania, Italy ; 24 New Brunswick Heart Centre, Saint John, Canada ; 25 University Hospital Cologne, Cologne, Germany ; 26 Southlake Regional Health Centre, Ontario, Canada ; 27 Poliambulanza Foundation Hospital, Brescia, Italy.
出版信息
Ann Cardiothorac Surg. 2015 Mar;4(2):131-9. doi: 10.3978/j.issn.2225-319X.2015.02.05.
BACKGROUND
Sutureless aortic valve replacement (SU-AVR) is an innovative approach which shortens cardiopulmonary bypass and cross-clamp durations and may facilitate minimally invasive approach. Evidence outlining its safety, efficacy, hemodynamic profile and potential complications is replete with small-volume observational studies and few comparative publications.
METHODS
Minimally invasive aortic valve surgery and high-volume SU-AVR replacement centers were contacted for recruitment into a global collaborative coalition dedicated to sutureless valve research. A Research Steering Committee was formulated to direct research and support the mission of providing registry evidence warranted for SU-AVR.
RESULTS
The International Valvular Surgery Study Group (IVSSG) was formed under the auspices of the Research Steering Committee, comprised of 36 expert valvular surgeons from 27 major centers across the globe. IVSSG Sutureless Projects currently proceeding include the Retrospective and Prospective Phases of the SU-AVR International Registry (SU-AVR-IR).
CONCLUSIONS
The global pooling of data by the IVSSG Sutureless Projects will provide required robust clinical evidence on the safety, efficacy and hemodynamic outcomes of SU-AVR.
背景
无缝合主动脉瓣置换术（SU-AVR）是一种创新方法，可缩短体外循环和主动脉阻断时间，并可能有助于微创方法的实施。关于其安全性、有效性、血流动力学特征和潜在并发症的证据，充斥着小样本观察性研究，比较性出版物较少。
方法
联系微创主动脉瓣手术和大量开展SU-AVR置换术的中心，招募其加入一个致力于无缝合瓣膜研究的全球协作联盟。成立了一个研究指导委员会，以指导研究并支持提供SU-AVR所需注册证据的任务。
结果
国际瓣膜手术研究组（IVSSG）在研究指导委员会的主持下成立，由来自全球27个主要中心的36名瓣膜外科专家组成。IVSSG目前正在进行的无缝合项目包括SU-AVR国际注册研究（SU-AVR-IR）的回顾性和前瞻性阶段。
结论
IVSSG无缝合项目的全球数据汇总将为SU-AVR的安全性、有效性和血流动力学结果提供所需的有力临床证据。
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