Transcatheter versus Surgical Aortic Valve Replacement after Previous Cardiac Surgery: A Systematic Review and Meta-Analysis
Joint Authors
Wendt, Daniel
Kasel, Albert Markus
El Gabry, Mohamed
Shehada, Sharaf-Eldin
Elhmidi, Yacine
Öztürk, Öznur
Frangieh, Antonio H.
Mourad, Fanar
El Bahi, Jaafar
Thielmann, Matthias
Benedik, Jaroslav
Jakob, Heinz
Source
Cardiology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-05
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Aim.
Aortic valve replacement (AVR) in patients with prior cardiac surgery might be challenging.
Transcatheter aortic valve replacement (TAVR) offers a promising alternative in such patients.
We therefore aimed at comparing the outcomes of patients with aortic valve diseases undergoing TAVR versus those undergoing surgical AVR (SAVR) after previous cardiac surgery.
Methods and Results.
MEDLINE, EMBASE, and the Cochrane Central Register were searched.
Seven relevant studies were identified, published between 01/2011 and 12/2015, enrolling a total of 1148 patients with prior cardiac surgery (97.6% prior CABG): 49.2% underwent TAVR, whereas 50.8% underwent SAVR.
Incidence of stroke (3.8 versus 7.9%, p=0.04) and major bleeding (8.3 versus 15.3%, p=0.04) was significantly lower in the TAVR group.
Incidence of mild/severe paravalvular leakage (14.4/10.9 versus 0%, p<0.0001) and pacemaker implantation (11.3 versus 3.9%, p=0.01) was significantly higher in the TAVR group.
There were no significant differences in the incidence of acute kidney injury (9.7 versus 8.7%, p=0.99), major adverse cardiovascular events (8.7 versus 12.3%, p=0.21), 30-day mortality (5.1 versus 5.5%, p=0.7), or 1-year mortality (11.6 versus 11.8%, p=0.97) between the TAVR and SAVR group.
Conclusions.
TAVR as a redo procedure offers a safe alternative for patients presenting with aortic valve diseases after previous cardiac surgery especially those with prior CABG.
American Psychological Association (APA)
Shehada, Sharaf-Eldin& Elhmidi, Yacine& Öztürk, Öznur& Kasel, Albert Markus& Frangieh, Antonio H.& Mourad, Fanar…[et al.]. 2018. Transcatheter versus Surgical Aortic Valve Replacement after Previous Cardiac Surgery: A Systematic Review and Meta-Analysis. Cardiology Research and Practice،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1152047
Modern Language Association (MLA)
Shehada, Sharaf-Eldin…[et al.]. Transcatheter versus Surgical Aortic Valve Replacement after Previous Cardiac Surgery: A Systematic Review and Meta-Analysis. Cardiology Research and Practice No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1152047
American Medical Association (AMA)
Shehada, Sharaf-Eldin& Elhmidi, Yacine& Öztürk, Öznur& Kasel, Albert Markus& Frangieh, Antonio H.& Mourad, Fanar…[et al.]. Transcatheter versus Surgical Aortic Valve Replacement after Previous Cardiac Surgery: A Systematic Review and Meta-Analysis. Cardiology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1152047
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1152047