Mashhour A, Zhigalov K, Szczechowicz M, Mkalaluh S, Easo J, Eichstaedt H, Borodin D, Ennker J, Weymann A. Snugger method - The Oldenburg modification of perceval implantation technique. World J Cardiol 2018; 10(9): 119-122 [PMID: 30344959 DOI: 10.4330/wjc.v10.i9.119]
Corresponding Author of This Article
Alexander Weymann, MD, PhD, Consultant Cardiac Surgeon, Surgeon, Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Rahel-Strauß-Street 10, Oldenburg 26133, Niedersachsen, Germany. weymann.alexander@klinikum-oldenburg.de
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Letters To The Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Sep 26, 2018; 10(9): 119-122 Published online Sep 26, 2018. doi: 10.4330/wjc.v10.i9.119
Snugger method - The Oldenburg modification of perceval implantation technique
Ahmed Mashhour, Konstantin Zhigalov, Marcin Szczechowicz, Sabreen Mkalaluh, Jerry Easo, Harald Eichstaedt, Dmitry Borodin, Jürgen Ennker, Alexander Weymann
Ahmed Mashhour, Konstantin Zhigalov, Marcin Szczechowicz, Sabreen Mkalaluh, Jerry Easo, Harald Eichstaedt, Dmitry Borodin, Jürgen Ennker, Alexander Weymann, Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Oldenburg 26133, Niedersachsen, Germany
Author contributions: Mashhour A wrote the paper and collected the data; Zhigalov K, Szczechowicz M, Mkalaluh S and Borodin D collected the data; Eichstaed H, Easo J, Ennker J and Weymann A developed the technique, performed the surgeries and revised the paper.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Alexander Weymann, MD, PhD, Consultant Cardiac Surgeon, Surgeon, Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Rahel-Strauß-Street 10, Oldenburg 26133, Niedersachsen, Germany. weymann.alexander@klinikum-oldenburg.de
Telephone: +49-441-4032820 Fax: +49-441-4032830
Received: April 14, 2018 Peer-review started: April 16, 2018 First decision: June 6, 2018 Revised: July 9, 2018 Accepted: August 26, 2018 Article in press: August 26, 2018 Published online: September 26, 2018 Processing time: 168 Days and 9.9 Hours
Abstract
We present a modified implantation technique of the Perceval® sutureless aortic valve (LivaNova, London, United Kingdom) that involves the usage of snuggers for the guiding sutures during valve deployment. Both limbs of each guiding suture are pulled through an elastic tube, which is fixed with a Pean clamp, which tightens the sutures and fixes the prosthesis to the aortic annulus during valve deployment. This method proved safe and useful in over 120 cases. Valve implantation was facilitated and the need for manipulation by the assistant or the nurse was eliminated.
Core tip: In this article, we are presenting a modified implantation technique of the Perceval sutureless aortic valve prosthesis to enhance proper positioning of the prosthesis and aid the reproducibility of the implantation procedure. The modification involves using snuggers to fix the valve prosthesis to the aortic annulus during deployment.
