Late Outcomes After Transcatheter Aortic Valve Implantation with Balloon-Versus Self-Expandable Valves Meta-Analysis of Reconstructed Time-To-Event Data

被引:1
作者
Jacquemyn, Xander [1 ]
Van den Eynde, Jef [1 ]
Caldonazo, Tulio [2 ]
Brown, James A. [3 ,4 ]
Dokollari, Aleksander [5 ]
Serna-Gallegos, Derek [3 ,4 ]
Clavel, Marie-Annick [6 ,7 ]
Pibarot, Philippe [6 ,7 ]
Sultan, Ibrahim [3 ,4 ]
Sa, Michel Pompeu [3 ,4 ]
机构
[1] Katholieke Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium
[2] Friedrich Schiller Univ, Dept Cardiothorac Surg, Jena, Germany
[3] Univ Pittsburgh, Dept Cardiothorac Surg, Pittsburgh, PA USA
[4] Univ Pittsburgh, UPMC Heart & Vasc Inst, Med Ctr, 200 Lothrop St, Pittsburgh, PA 15213 USA
[5] Univ Manitoba, St Boniface Hosp, Dept Cardiac Surg, Winnipeg, MB, Canada
[6] Ctr Rech Inst Univ Cardiol & Pneumol Quebec, Quebec City, PQ, Canada
[7] Univ Laval, Dept Med, Quebec City, PQ, Canada
关键词
Heart valve prosthesis implantation; Transcatheter aortic valve replacement; Aortic valve; Cardiac surgical procedures; Cardiovascular surgical procedures; Meta; -analysis; PROSTHESIS-PATIENT MISMATCH; END-POINT DEFINITIONS; CLINICAL-OUTCOMES; 5-YEAR OUTCOMES; HIGH-RISK; REPLACEMENT; TAVR; IMPACT;
D O I
10.1016/j.ccl.2024.02.017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
center dot Self-expanding valves (SEV) and balloon-expandable valves (BEV) are the 2 main platforms for transcatheter aortic valve implantation (TAVI). It is unclear whether there is a difference in shortand long-term outcomes between these 2 platforms. center dot BEV is associated with better overall survival versus SEV; this is mainly driven by a lower risk of death during the first 4 months after TAVI, and this difference is not maintained in the long-term. center dot For cardiovascular mortality, there is a time-varying effect that favors BEV in the first 3 years of follow-up and, then, there is a reversal of the risk favoring SEV beyond the 3-year timepoint. center dot SEV is associated with a lower risk of structural valve deterioration which is driven by a time-varying effect starting at 18 months after TAVI.
引用
收藏
页码:373 / 387
页数:15
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