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Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Cardiac Surgery: Meta-Analysis and Systematic Review of the Literature

The number of patients with severe aortic stenosis (AS) and a history of prior cardiac surgery has increased. Prior cardiac surgery increases the risk of adverse outcomes in patients undergoing aortic valve replacement. To evaluate the impact of prior cardiac surgery on clinical endpoints in patient...

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Autores principales: Latif, Azka, Lateef, Noman, Ahsan, Muhammad Junaid, Kapoor, Vikas, Usman, Rana Mohammad, Cooper, Stephen, Andukuri, Venkata, Mirza, Mohsin, Ashfaq, Muhammad Zubair, Khouzam, Rami
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7570107/
https://www.ncbi.nlm.nih.gov/pubmed/32927705
http://dx.doi.org/10.3390/jcdd7030036
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author Latif, Azka
Lateef, Noman
Ahsan, Muhammad Junaid
Kapoor, Vikas
Usman, Rana Mohammad
Cooper, Stephen
Andukuri, Venkata
Mirza, Mohsin
Ashfaq, Muhammad Zubair
Khouzam, Rami
author_facet Latif, Azka
Lateef, Noman
Ahsan, Muhammad Junaid
Kapoor, Vikas
Usman, Rana Mohammad
Cooper, Stephen
Andukuri, Venkata
Mirza, Mohsin
Ashfaq, Muhammad Zubair
Khouzam, Rami
author_sort Latif, Azka
collection PubMed
description The number of patients with severe aortic stenosis (AS) and a history of prior cardiac surgery has increased. Prior cardiac surgery increases the risk of adverse outcomes in patients undergoing aortic valve replacement. To evaluate the impact of prior cardiac surgery on clinical endpoints in patients undergoing transcatheter aortic valve replacement (TAVR) versus surgical aortic valve replacement (SAVR), we performed a literature search using PubMed, Embase, Google Scholar, and Scopus databases. The clinical endpoints included in our study were 30-day mortality, 1–2-year mortality, acute kidney injury (AKI), bleeding, stroke, procedural time, and duration of hospital stay. Seven studies, which included a total of 8221 patients, were selected. Our study found that TAVR was associated with a lower incidence of stroke and bleeding complications. There was no significant difference in terms of AKI, 30-day all-cause mortality, and 1–2-year all-cause mortality between the two groups. The average procedure time and duration of hospital stay were 170 min less (p ≤ 0.01) and 3.6 days shorter (p < 0.01) in patients with TAVR, respectively. In patients with prior coronary artery bypass graft and severe AS, both TAVR and SAVR are reasonable options. However, TAVR may be associated with a lower incidence of complications like stroke and perioperative bleeding, in addition to a shorter length of stay.
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spelling pubmed-75701072020-10-28 Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Cardiac Surgery: Meta-Analysis and Systematic Review of the Literature Latif, Azka Lateef, Noman Ahsan, Muhammad Junaid Kapoor, Vikas Usman, Rana Mohammad Cooper, Stephen Andukuri, Venkata Mirza, Mohsin Ashfaq, Muhammad Zubair Khouzam, Rami J Cardiovasc Dev Dis Review The number of patients with severe aortic stenosis (AS) and a history of prior cardiac surgery has increased. Prior cardiac surgery increases the risk of adverse outcomes in patients undergoing aortic valve replacement. To evaluate the impact of prior cardiac surgery on clinical endpoints in patients undergoing transcatheter aortic valve replacement (TAVR) versus surgical aortic valve replacement (SAVR), we performed a literature search using PubMed, Embase, Google Scholar, and Scopus databases. The clinical endpoints included in our study were 30-day mortality, 1–2-year mortality, acute kidney injury (AKI), bleeding, stroke, procedural time, and duration of hospital stay. Seven studies, which included a total of 8221 patients, were selected. Our study found that TAVR was associated with a lower incidence of stroke and bleeding complications. There was no significant difference in terms of AKI, 30-day all-cause mortality, and 1–2-year all-cause mortality between the two groups. The average procedure time and duration of hospital stay were 170 min less (p ≤ 0.01) and 3.6 days shorter (p < 0.01) in patients with TAVR, respectively. In patients with prior coronary artery bypass graft and severe AS, both TAVR and SAVR are reasonable options. However, TAVR may be associated with a lower incidence of complications like stroke and perioperative bleeding, in addition to a shorter length of stay. MDPI 2020-09-10 /pmc/articles/PMC7570107/ /pubmed/32927705 http://dx.doi.org/10.3390/jcdd7030036 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Latif, Azka
Lateef, Noman
Ahsan, Muhammad Junaid
Kapoor, Vikas
Usman, Rana Mohammad
Cooper, Stephen
Andukuri, Venkata
Mirza, Mohsin
Ashfaq, Muhammad Zubair
Khouzam, Rami
Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Cardiac Surgery: Meta-Analysis and Systematic Review of the Literature
title Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Cardiac Surgery: Meta-Analysis and Systematic Review of the Literature
title_full Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Cardiac Surgery: Meta-Analysis and Systematic Review of the Literature
title_fullStr Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Cardiac Surgery: Meta-Analysis and Systematic Review of the Literature
title_full_unstemmed Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Cardiac Surgery: Meta-Analysis and Systematic Review of the Literature
title_short Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Cardiac Surgery: Meta-Analysis and Systematic Review of the Literature
title_sort transcatheter versus surgical aortic valve replacement in patients with cardiac surgery: meta-analysis and systematic review of the literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7570107/
https://www.ncbi.nlm.nih.gov/pubmed/32927705
http://dx.doi.org/10.3390/jcdd7030036
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