Biological versus mechanical prosthesis in 3279 patients from the Swedish in-patients register
2011 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, Vol. 45, no 4, 223-228 p.Article in journal (Refereed) Published
Objectives. To compare valve-related morbidity among patients aged = 70 years, receiving either a mechanical or a biological prosthesis in a population-based setting. Design. In total, 3279 patients (21 644 patient-years) were followed up through the Swedish National In-Patients Register, which registers all hospital admissions. Death, thromboembolism, bleeding, endocarditis, valve thrombosis and reoperations were all captured. Results. Survival was lower among patients aged 5 years). Event-free survival was higher in younger patients with a mechanical prosthesis compared to bioprosthesis recipients (p < 0.001), but equal among older patients. Conclusions. Survival was comparable in older patients irrespective of prosthesis type. Bleeding was increased with a mechanical prosthesis, especially in the elderly. The risk of thromboembolism was higher in patients with a bioprosthesis.
Place, publisher, year, edition, pages
2011. Vol. 45, no 4, 223-228 p.
Heart valve surgery, mechanical prosthesis, biological prosthesis, in-patients register, valve-related morbidity, valve prosthesis
IdentifiersURN: urn:nbn:se:uu:diva-156932DOI: 10.3109/14017431.2011.571281ISI: 000292919500005OAI: oai:DiVA.org:uu-156932DiVA: diva2:435860