{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T08:51:39Z","timestamp":1780563099632,"version":"3.54.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,1,28]],"date-time":"2019-01-28T00:00:00Z","timestamp":1548633600000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The ideal strategy for the treatment of severe aortic valve stenosis in patients of varying risk categories has become a debated topic in the last years: should the transcatheter or surgical approach be adopted? The aim of this study was to evaluate the outcomes of low-, intermediate-, high- and very high-risk patients undergoing sutureless, rapid deployment aortic valve replacement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>From 2007 to 2017, data on a total of 3651 patients were collected from the Sutureless and Rapid Deployment Aortic Valve Replacement International Registry (SURD-IR). Of these, 2057 patients who underwent primary isolated aortic valve replacement were considered for this analysis and classified as being at low (EuroSCORE &lt;5; n\u2009=\u2009500), intermediate (EuroSCORE 5\u201310; n\u2009=\u2009901), high (EuroSCORE 11\u201320; n\u2009=\u2009500) and very high (EuroSCORE &gt;20; n\u2009=\u2009156) preoperative risk.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Overall, a less invasive approach was used in 74.1% of patients and represented the most frequent (&gt;50%) approach in all risk categories. The Perceval prosthesis was used more frequently than other devices, especially in patients at high and very high risk. Hospital mortality was 1.6%, 0.8%, 1.9% and 2.7% in low-, intermediate-, high- and very high-risk patients, respectively, with no significant differences among subgroups. Similarly, postoperative complication rates were similar across the different risk categories.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Surgical aortic valve replacement using sutureless, rapid deployment biological valve prostheses is associated with excellent results and represents a safe and effective treatment option for patients with severe aortic valve stenosis. This seems to be particularly true in patients with a higher risk profile.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezy477","type":"journal-article","created":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T04:21:08Z","timestamp":1545279668000},"page":"38-43","source":"Crossref","is-referenced-by-count":15,"title":["Operative outcome of patients at low, intermediate, high and \u2018very high\u2019 surgical risk undergoing isolated aortic valve replacement with sutureless and rapid deployment prostheses: results of the SURD-IR registry"],"prefix":"10.1093","volume":"56","author":[{"given":"Giuseppe","family":"Santarpino","sequence":"first","affiliation":[{"name":"Citt\u00e0 di Lecce Hospital, GVM Care & Research, Lecce, Italy"},{"name":"Cardiovascular Center, Paracelsus Medical University, Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Berretta","sequence":"additional","affiliation":[{"name":"Cardiac 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Surgery Department, Sant\u2019Orsola Malpighi Hospital, University of Bologna, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Utz","family":"Kappert","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Dresden Heart Center, Dresden University Hospital, Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"Glauber","sequence":"additional","affiliation":[{"name":"Istituto Clinico Sant\u2019Ambrogio, Clinical & Research Hospitals IRCCS Gruppo San Donato, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Villa","sequence":"additional","affiliation":[{"name":"Poliambulanza Foundation Hospital, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bart","family":"Meuris","sequence":"additional","affiliation":[{"name":"Gasthuisberg, Cardiale Heelkunde, Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelo","family":"Mignosa","sequence":"additional","affiliation":[{"name":"Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation IRCCS-ISMETT, Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Albertini","sequence":"additional","affiliation":[{"name":"GVM Care & Research, Cotignola, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Martinelli","sequence":"additional","affiliation":[{"name":"Cardiovascular Department, Clinica San Gaudenzio, Novara, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry A","family":"Folliguet","sequence":"additional","affiliation":[{"name":"Henri Mondor Hospital, University of Paris, Paris, 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