naa a22 4500 510727751 CHVBK 20180411082941.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s11748-012-0173-5 doi (NATIONALLICENCE)springer-10.1007/s11748-012-0173-5 Takemura Hirofumi Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, 501-1194, Gifu, Japan aut Selection of artificial valve for the patients on hemodialysis [Elektronische Daten] [Hirofumi Takemura] The selection of artificial valve for the hemodialysis patients is still controversial. Initially ACC/AHA guideline recommended using mechanical valve because of concern on the durability of bioprosthesis after replacement on the dialysis patients; however, revised guideline deleted that recommendation. Although many reports recognized rapid deterioration of bioprosthesis mainly due to calcification after valve replacement, there is no difference on survival between both types of valve. The recently conducted meta-analysis reported the same conclusions. Actually the long-term survival of the dialysis patients is poorer than that of non-dialysis people; however, it differs according to the etiology of renal failure. For example, the long-term survival of the non-diabetic patients seems longer than that of diabetic patients requiring longer durability of artificial valve. According to ACC/AHA guideline and the meta-analysis, surgeon should not hesitate to use bioprosthetic valve; however, surgeon should consider stratification of the dialysis patients by prediction for the long survival of each patient. The Japanese Association for Thoracic Surgery, 2012 Hemodialysis nationallicence Artificial valve nationallicence Selection nationallicence Mechanical valve nationallicence Bioprosthesis nationallicence General Thoracic and Cardiovascular Surgery Springer Japan 61/6(2013-06-01), 314-319 1863-6705 61:6<314 2013 61 11748 https://doi.org/10.1007/s11748-012-0173-5 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-012-0173-5 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Takemura Hirofumi Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, 501-1194, Gifu, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/6(2013-06-01), 314-319 1863-6705 61:6<314 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer