{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:08Z","timestamp":1740126848898,"version":"3.37.3"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The role of conventional surgical aortic valve replacement (SAVR) is increasingly questioned since the indication for transcatheter aortic valve implantations (TAVIs) is currently extended. While the number of patients referred to SAVR decreases, it is unclear if SAVR should be performed by junior resident surgeons in the course of a heart surgeons training.<\/jats:p><jats:p>\n          Methods\u2003Patients with isolated aortic valve replacement (AVR) were analyzed with respect to the surgeon's qualification. AVR performed by resident surgeons was compared with AVR by senior surgeons. The collective was analyzed with respect to clinical short-term outcomes comparing full sternotomy (FS) with minimally invasive surgery and ministernotomy (MS) with right anterior thoracotomy (RAT) after a 1:1 propensity score matching.<\/jats:p><jats:p>\n          Results\u2003The 30-day all-cause mortality was 2.3 and 3.4% for resident versus senior AVR groups, cerebrovascular event rates were 1.1 versus 2.6%, and no cases of significant paravalvular leak were detected. Clinical short-term outcomes between FS and minimally invasive access, as well after MS and RAT were comparable.<\/jats:p><jats:p>\n          Conclusion\u2003Our current data show feasibility and safety of conventional SAVR procedure performed by resident surgeons in the era of TAVI. Minimally invasive surgery should be trained and performed in higher volumes early in the educational process as it is a safe treatment option.<\/jats:p>","DOI":"10.1055\/s-0041-1736206","type":"journal-article","created":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T23:59:00Z","timestamp":1637625540000},"page":"376-386","source":"Crossref","is-referenced-by-count":0,"title":["Is It Reasonable to Perform Isolated SAVR by Residents in the TAVI Era?"],"prefix":"10.1055","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6568-6766","authenticated-orcid":false,"given":"Stephen","family":"Gerfer","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6941-7785","authenticated-orcid":false,"given":"Kaveh","family":"Eghbalzadeh","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elmar","family":"Kuhn","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten","family":"Wahlers","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Brinkschr\u00f6der","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5810-8626","authenticated-orcid":false,"given":"Ilija","family":"Djordjevic","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Rustenbach","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parwis","family":"Rahmanian","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navid","family":"Mader","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart 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for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial","volume":"385","author":"M J Mack","year":"2015","journal-title":"Lancet"},{"issue":"17","key":"ref4","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1056\/NEJMoa1514616","article-title":"Transcatheter or surgical aortic-valve replacement in intermediate-risk patients","volume":"374","author":"M B Leon","year":"2016","journal-title":"N Engl J Med"},{"issue":"23","key":"ref5","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1056\/NEJMoa1103510","article-title":"Transcatheter versus surgical aortic-valve replacement in high-risk patients","volume":"364","author":"C R Smith","year":"2011","journal-title":"N Engl J Med"},{"issue":"19","key":"ref6","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1016\/j.jacc.2014.02.556","article-title":"Transcatheter aortic valve replacement using a self-expanding bioprosthesis in patients with severe aortic stenosis at extreme risk for surgery","volume":"63","author":"J J Popma","year":"2014","journal-title":"J Am Coll Cardiol"},{"issue":"22","key":"ref7","doi-asserted-by":"crossref","first-page":"2687","DOI":"10.1016\/j.jacc.2018.08.2146","article-title":"5-year outcomes of self-expanding transcatheter versus surgical aortic valve replacement in high-risk patients","volume":"72","author":"T G Gleason","year":"2018","journal-title":"J Am Coll Cardiol"},{"issue":"19","key":"ref8","doi-asserted-by":"crossref","first-page":"1790","DOI":"10.1056\/NEJMoa1400590","article-title":"Transcatheter aortic-valve replacement with a self-expanding prosthesis","volume":"370","author":"D H Adams","year":"2014","journal-title":"N Engl J Med"},{"issue":"36","key":"ref9","doi-asserted-by":"crossref","first-page":"2739","DOI":"10.1093\/eurheartj\/ehx391","article-title":"2017 ESC\/EACTS Guidelines for the management of valvular heart disease","volume":"38","author":"H Baumgartner","year":"2017","journal-title":"Eur Heart J"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1055\/s-0039-1693022","article-title":"German Heart Surgery Report 2018: the annual updated registry of the German Society for Thoracic and Cardiovascular Surgery","volume":"67","author":"A Beckmann","year":"2019","journal-title":"Thorac Cardiovasc Surg"},{"issue":"18","key":"ref11","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1056\/NEJMoa1814052","article-title":"Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients","volume":"380","author":"M J Mack","year":"2019","journal-title":"N Engl J Med"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1055\/s-0040-1710569","article-title":"German Heart Surgery Report 2019: the annual updated registry of the German Society for Thoracic and Cardiovascular Surgery","volume":"68","author":"A Beckmann","year":"2020","journal-title":"Thorac Cardiovasc 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Athappan","year":"2013","journal-title":"J Am Coll Cardiol"},{"issue":"21","key":"ref16","doi-asserted-by":"crossref","first-page":"2189","DOI":"10.1016\/j.jcin.2016.07.026","article-title":"Incidence, predictors, and outcomes of permanent pacemaker implantation following transcatheter aortic valve replacement: analysis from the U.S. Society of Thoracic Surgeons\/American College of Cardiology TVT Registry","volume":"9","author":"O O Fadahunsi","year":"2016","journal-title":"JACC Cardiovasc Interv"},{"issue":"02","key":"ref17","first-page":"146","article-title":"Minimally invasive versus transcatheter and surgical aortic valve replacement: a propensity matched study","volume":"26","author":"M D Terwelp","year":"2017","journal-title":"J Heart Valve Dis"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1093\/icvts\/ivw207","article-title":"Does the surgeon's experience have an impact on outcome after total arterial revascularization with composite T-grafts? 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R Merk","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.jtcvs.2013.08.086","article-title":"Current era minimally invasive aortic valve replacement: techniques and practice","volume":"147","author":"S C Malaisrie","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"09","key":"ref26","doi-asserted-by":"crossref","first-page":"3057","DOI":"10.1007\/s00464-011-1670-9","article-title":"MIS training in Canada: a national survey of general surgery residents","volume":"25","author":"A Qureshi","year":"2011","journal-title":"Surg Endosc"},{"issue":"02","key":"ref27","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.jtcvs.2012.09.073","article-title":"Excellent short- and long-term outcomes after concomitant aortic valve replacement and coronary artery bypass grafting performed by surgeons in training","volume":"145","author":"A 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