Transcatheter versus Surgical Aortic Valve Replacement after Previous Cardiac Surgery: A Systematic Review and Meta-Analysis

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 t...

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Bibliographic Details
Published in:Cardiology research and practice 2018-01, Vol.2018 (2018), p.1-11
Main Authors: Thielmann, Matthias, Jakob, Heinz, Wendt, Daniel, El Bahi, Jaafar, Benedik, Jaroslav, Mourad, Fanar, Frangieh, Antonio H., Kasel, Albert Markus, Öztürk, Öznur, Elhmidi, Yacine, Shehada, Sharaf-Eldin, El Gabry, Mohamed
Format: Article
Language:English
Subjects:
Analysis
Cardiac patients
Cardiovascular disease
Coronary vessels
Diabetes
Germany
Health aspects
Heart surgery
Heart valve diseases
Kidneys
Meta-analysis
Mortality
Pacemakers
Review
Systematic review
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Summary: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
ISSN:2090-8016
2090-0597
2090-0597
DOI:10.1155/2018/4615043