I35.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Operation worthy aortic stenosis associated with coronary heart disease, which requires the installation of at least one IMA graft and a vein graft - Aged 50 - 80 years - Elective or urgent indication for surgery - Technical possibility of implantation, both a seam-free as well as a conventional prosthesis - Approval of the study after the enlightenment - Consent to participate in a one-year follow-up
Exclusion criteria
Exclusion criteria: - Pure aortic insufficiency without calcifications - Less than two target vessels for bypass surgery, or target vessels that appear to be unsuitable for an IMA graft investment - Indication or explicit patient request for implantation of a mechanical prosthesis - Indication or explicit patient request for implantation of a catheter-based prosthesis - EF <30% - Acute endocarditis - Renal insufficiency (creatinine 2x ULN or dialysis) - Hepatic impairment (ALT 2x ULN) - Emergency intervention - Not present capacity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medical benefit for patients, according to - hemodynamics of the aortic valve prosthesis intraoperatively and after the operation - operation times (total operating time, HLM-time, aortic clamping time) - postoperative course - hospital stay - duration of ventilation - length of stay in the ICU - postoperative complications (bleeding amount, blood transfusion, new-onset atrial fibrillation, recent onset AV block, respiratory failure, renal failure, infections) - re-hospitalization - quality of life after 3 and 12 months Economic benefit in Ulm, according to -DRG revenue - patient-related actual costs (material resources, personnel) | — |
Countries
Germany
Contacts
Klinik für Herz-, Thorax- und Gefäßchirurgie