Innovations in Aortic Valve Replacement: A Comprehensive Overview of the Intuity Rapid Deployment Valve

Author:

Alaklabi Abdulaziz M.1,Abdul Rab Saleha1,Sabbah Belal N.1,Maklad Ahmed Essam1,Dokollari Aleksander2,Van den Eynde Jef3,Pompeu Sa Michel45,Arjomandi Rad Arian6,Ahsan Muhammad Rauf7,Fatehi Hassanabad Ali7

Affiliation:

1. From the College of Medicine, Alfaisal University, Riyadh, Saudi Arabia

2. Section of Cardiac Surgery, St. Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, Canada

3. Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium

4. Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA

5. UPMC Heart and Vascular Institute, Pittsburgh, PA

6. Medical Sciences Division, University of Oxford, Oxford, UK; and

7. Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Canada.

Abstract

Rapid deployment/sutureless (RDS) valves have recently emerged as an innovative surgical solution, providing an alternative to traditional methods of surgical aortic valve replacement (SAVR) by eliminating the need for suture placement and tying. This innovation leads to a reduction in aortic crossclamp and cardiopulmonary bypass times, enhancing the efficiency of the procedure. Among the 2 available RDS valves, the Edwards Intuity valve in particular has been demonstrated to be a particularly promising substitute in the field of SAVR. The Intuity valve distinguishes itself from other RDS and conventional valves by yielding superior outcomes, such as a significant reduction in mortality, increase in the longevity of the valve, and a marked decrease in both mean and peak transvalvular pressure gradients. These benefits collectively contribute to its appeal as a favorable new solution. However, further investigation is needed to conclusively determine the long-term outcomes and safety of RDS valves. Nevertheless, the utilization of the Intuity valve presents an exciting solution to the existing limitations of conventional and minimally invasive SAVR, especially for patients afflicted with severe aortic stenosis.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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