Research Article

International Heart Valve Bank Survey: A Review of Processing Practices and Activity Outcomes

Table 7

Summary of heart valve outcomes for HVBs in Europe.

BankNumber of donors/number of grafts processed annually (Average)Proportion of products meeting release criteriaReasons for product failureProportion of released products implantedReasons released products are not implanted

E145 donors
75 valves
~79%(1) Abnormal morphology of graft
(2) Positive microbiological results of graft
(3) Positive serology results of donor
99.5%Decision during surgery

E225 donors
40 valves
~70%(1) Failure in valve competency
(2) Positive microbiological results of graft
(3) Technical issues
95%Decision during surgery

E397 grafts~50%Positive microbiological results95%(1) Size demands for valves
(2) Low demand for type of valve

E472 donors
80 valves
130 patches
90%(1) Failure in valve competency (primarily aortic valves)
(2) Positive microbiological results of graft
98% Decision during surgery, cancellation of surgery

E54 donors
8 valves
~69%(1) Positive microbiological results of graft
(2) Positive serology results of donor
100%NA

E635 donors
30 valves
~70% Positive microbiological results of graft95% Low demand for aortic valves

E720–30 donors
50 valves
~90%(1) Positive microbiological results of graft
(2) Technical issues
60% Size demand for valves—a congenital cardiac centre only

E840–50 donors
80 valves
~80%Positive microbiological results of graft95%(1) Size demand for valves
(2) Beyond maximum storage duration of patch graft

E9300 donors
400 valves
~50%(1) Abnormal morphology of graft
(2) Positive microbiological results of graft
(3) Technical issues
85% (100% for pulmonary valves and arterial allografts)(1) Aortic valve size
(2) Low demand for aortic valves
(3) Decision during surgery
(4) Damage of graft during thawing

E10100 donors
250 grafts
~68%Abnormal morphology of graft65%Size demand for valves

E11217 donors
380 valves
~78%(1) Abnormal morphology of graft
(2) Positive microbiological results of graft
84%(1) Size demand for valves
(2) Low demand for aortic valves