Imperial College London
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Professor Thanos Athanasiou MD PhD MBA FECTS FRCS

Faculty of Medicine, Department of Surgery & Cancer

Professor of Cardiovascular Sciences
 
 
 
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Contact

 

t.athanasiou

 
 
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Location

 

1022Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kalogerakos:2019:10.1080/17434440.2019.1642105,
author = {Kalogerakos, PD and Kontopodis, N and Ioannou, CV and Kladou, E and Chalkiadakis, G and Athanasiou, T and Lazopoulos, G},
doi = {10.1080/17434440.2019.1642105},
journal = {Expert Rev Med Devices},
pages = {743--751},
title = {Hemodynamics and reverse remodeling associated with Mosaic, Perimount and Trifecta aortic bioprostheses.},
url = {http://dx.doi.org/10.1080/17434440.2019.1642105},
volume = {16},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Introduction: The implantation rate of aortic bioprostheses is increasing. Their durability has improved to some extent over the years and they allow for future transcatheter valve-in-valve deployment. In the lack of long term follow up, their hemodynamic profile, i.e. transvalvular mean pressure gradient and effective orifice area indexed, and the associated left ventricular reverse remodeling indexed are useful surrogates for clinical outcomes. Areas covered: A systematic review of the literature was conducted by searching Medline, Cochrane, Scielo, Embase databases, and grey literature until July 2018 for articles that perform comparisons among the three most popular aortic bioprostheses. Six randomized and 12 non-randomized studies were included with 565 patients receiving a Mosaic, 1334 a Perimount and 557 a Trifecta valve. These articles are heterogeneous but they allow the meta-analytic comparison of the abovementioned outcomes. Expert opinion: Compared to the Perimount valve, the Mosaic is hemodynamically inferior, while the Trifecta is superior. Despite these statistically significant differences, the left ventricular mass regression indexed, that is indicative of reverse remodeling, was comparable in all groups. All patients were similarly benefited. The predilection among these valves is fueled by their hemodynamic profile but not supported by the comparable reverse remodeling.
AU  - Kalogerakos,PD
AU  - Kontopodis,N
AU  - Ioannou,CV
AU  - Kladou,E
AU  - Chalkiadakis,G
AU  - Athanasiou,T
AU  - Lazopoulos,G
DO  - 10.1080/17434440.2019.1642105
EP  - 751
PY  - 2019///
SP  - 743
TI  - Hemodynamics and reverse remodeling associated with Mosaic, Perimount and Trifecta aortic bioprostheses.
T2  - Expert Rev Med Devices
UR  - http://dx.doi.org/10.1080/17434440.2019.1642105
UR  - https://www.ncbi.nlm.nih.gov/pubmed/31318302
VL  - 16
ER  -
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