{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T19:56:25Z","timestamp":1771012585355,"version":"3.50.1"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives\u2003The aim of this study was to investigate the need for postoperative permanent pacemaker implantation (PPI) following sutureless and rapid-deployment aortic valve replacement (SuRD-AVR) in the context of a progress report from a large multicenter international registry (SURD-IR).<\/jats:p><jats:p>\n          Methods\u2003We retrospectively analyzed 4,166 patients who underwent SuRD-AVR between 2008 and 2019. The primary outcome was the need for PPI before discharge. The study population was analyzed separately according to the implanted prostheses (Su cohort and RD cohort). Each cohort was divided into two groups based on the operation date: an early group (\u201cEG\u201d\u2009=\u20092008\u20132016) and a late group (\u201cLG\u201d\u2009=\u20092017\u20132019).<\/jats:p><jats:p>\n          Results\u2003The rate of PPI decreased significantly in the Su cohort over time (EG\u2009=\u200910.8% vs LG\u2009=\u20096.3%, p\u2009&lt;\u20090.001). In the Su cohort, a decrease in age, risk profile, and incidence of bicuspid aortic valve, increased use of anterior right thoracotomy, reduction of cardiopulmonary bypass time and of associated procedures, and more frequent use of smaller prostheses were observed over time. In the RD cohort, the rate of PPI was stable over time (EG\u2009=\u20098.8% vs LG\u2009=\u20099.3%, p\u2009=\u20090.8). In this cohort, a younger age, lower risk profile, and higher incidence of concomitant septal myectomy were observed over time.<\/jats:p><jats:p>\n          Conclusion\u2003Our analysis showed a significant decrease in the PPI rate in patients who underwent Su-AVR over time. Patient selection as well as surgical improvements and a more accurate sizing could be correlated with this phenomenon. The RD cohort revealed no significant differences either in patient's characteristics or in PPI rate between the two time periods.<\/jats:p>","DOI":"10.1055\/s-0042-1757778","type":"journal-article","created":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T23:15:00Z","timestamp":1666134900000},"page":"557-565","source":"Crossref","is-referenced-by-count":6,"title":["Pacemaker after Sutureless and Rapid-Deployment Prostheses: A Progress Report from the SURD-IR"],"prefix":"10.1055","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1729-532X","authenticated-orcid":false,"given":"Francesco","family":"Pollari","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Cardiovascular Center, Klinikum N\u00fcrnberg, Paracelsus Medical University Nuremberg, Nuremberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Berretta","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Albertini","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Maria Cecilia Hospital GVM Care and Research, Cotignola, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Carrel","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital University Hospital Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Teoh","sequence":"additional","affiliation":[{"name":"Southlake Regional Health Centre, Newmarket, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bart","family":"Meuris","sequence":"additional","affiliation":[{"name":"KU Leuven University Hospitals Leuven, Leuven, Flanders, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Villa","sequence":"additional","affiliation":[{"name":"Poliambulanza Foundation Hospital Institute, Brescia, Lombardia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Utz","family":"Kappert","sequence":"additional","affiliation":[{"name":"Heart Centre Dresden University Hospital of the University of Technology Dresden, Dresden, Sachsen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4950-5432","authenticated-orcid":false,"given":"Martin","family":"Andreas","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Solinas","sequence":"additional","affiliation":[{"name":"Heart Hospital Pasquinucci Hospital of Massa, Massa, Toscana, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Misfeld","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Heart Centre, University of Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Savini","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum University of Bologna, Bologna, Emilia-Romagna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Fiore","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire Henri Mondor, Creteil, \u00cele-de-France, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malakh","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Santarpino","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herzchirurgie, Klinikum N\u00fcrnberg, Nuremberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gian Luca","family":"Martinelli","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular, Clinica S. Gaudenzio, Novara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmelo","family":"Mignosa","sequence":"additional","affiliation":[{"name":"ISMETT, Palermo, Sicilia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mattia","family":"Glauber","sequence":"additional","affiliation":[{"name":"Sant'Ambrogio Clinic, Milano, Lombardia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tristan","family":"Yan","sequence":"additional","affiliation":[{"name":"CORE, Athens, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodor","family":"Fischlein","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Klinikum N\u00fcrnberg, Paracelsus Medical University, Nuremberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Di Eusanio","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliero Universitaria Ospedali Riuniti 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