[HSF] Pannus formation

[Nasser F. Abou'Seada]

any company reps around ???  ...... 
OK .... well .... 
Dear  Michael ..... no wonder the difference in the incidence per valve
brand is dependent on the type of valve commonly more in use .... probably
those who have got the experience with St Jude do implant more St Jude than
any other valve prosthesis ..... may be we do have a greater incidence of
omni valves implanted ... and subsequently more incidence of pannus per
brand ...!! ...
However ......... IMH experience ...... the numbers go in favour of Omni
having the greater incidence ........ St Jude the least .... hardly at all
....... 
still .... no RCT .... just anecdotal experience ... personally biased ... !

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Michael Firstenberg
> Sent: Monday, October 16, 2006 7:27 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Pannus formation
> 
> Common finding with Omni valves?  I was told this was more common with the
> St Judes.
> 
> -michael
> 
> 
> On 10/16/06, Nasser F. Abou'Seada <nfaabouseada at gmail.com> wrote:
> >
> > Dear Prasanna
> > another proof that the presence of the valve as a foreign body per se
> > elicits pannus formation as a reaction ..... in fact, as you have
> > mentioned
> > here .... I agree with you that the SUTURE TECHNIQUE and plan of tissues
> > as
> > opposed to the implanted prosthesis... is more deciding for pannus
> > formation, than the mere presence of the prosthesis itself per se.
> >
> > I do concur with your observation about Omniscience / Omnicarbon valves
> > ....
> > I used to call them Ominous-sign valves ... !! ....
> > Incidentally another proof that the TYPE of the prosthesis is more
> > deciding
> > for/relating to pannus formation rather than the mere presence of the
> > prosthesis itself as a foreign body ...!!
> >
> > NFA
> >
> > > From: prasannasimha
> > > Great James,
> > > Incidentally did you use non-everting or everting sutures this time ?
> > > This "underside" pannus seems to be a common mode of failure of
> > > prosthetic valves. As I said using a noneverting suture technique in
the
> > > aortic position has sharply reduced its incidence in my practice.
> > > I did find a higher incidence when we were using Omniscience and
> > > Omnicarbon valves
> > > Prasanna
> >
> >
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