Transcatheter vs Surgical Aortic Valve Replacement Outcomes Among Solid Organ Transplant Patients: A Systematic Review and Meta-Analysis

被引:3
作者
Jaiswal, Vikash [1 ]
Ang, Song Peng [2 ]
Ishak, Angela [3 ]
Joshi, Amey [1 ]
Chia, Jia Ee [4 ]
Kalra, Kriti [5 ]
Attia, Abdelrahman M. [6 ]
Sharma, Prachi [7 ]
Biswas, Monodeep [8 ,9 ]
Grubb, Kendra J. [10 ,11 ]
机构
[1] Larkin Community Hosp, Dept Cardiovasc Res, South Miami, FL USA
[2] Rutgers Hlth Community Med Ctr, Dept Internal Med, Toms River, NJ USA
[3] Larkin Community Hosp, Dept Res & Acad affairs, South Miami, FL USA
[4] Int Med Univ, Dept Med, Kuala Lumpur, Malaysia
[5] Medstar Washington Hosp Ctr, Dept Cardiol, Washington, DC USA
[6] Cairo Univ, Dept Med, Giza, Egypt
[7] King Georges Med Univ, Dept Cardiol, Lucknow, Uttar Pradesh, India
[8] Wellspan Cardiol, Gen Cardiol & Adv Heart Failure, Lancaster, PA USA
[9] Univ Maryland, Med Ctr, Baltimore, MD USA
[10] Emory Univ, Sch Med, Dept Surg, Div Cardiothorac Surg, Atlanta, GA USA
[11] Emory Univ, Struct Heart & Valve Ctr, Cardiothorac Surg, 550 Peachtree St, NE, Atlanta, GA 30308 USA
关键词
IMPLANTATION; RECIPIENTS; SURVIVAL; STENOSIS; TRENDS;
D O I
10.1016/j.cpcardiol.2023.101685
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The safety and clinical outcomes of trans-catheter aortic valve replacement (TAVR) compared to surgical aortic valve replacement (SAVR) among patients with solid organ transplants is not well under-stood. This study aimed to evaluate the clinical out-comes of TAVR and SAVR among patients with a history of solid organ transplantation. We performed a systematic literature search of databases for relevant articles from inception until May 1st, 2022. Unad-justed odds ratios (OR) were pooled using a random -effect model, and a P-value of <0.05 was considered statistically significant. A total of 3240 studies were identified of which 3 studies with a total of 2960 patients were included in the final analysis. For solid organ transplants patients, the odds of in-hospital mortality (OR 0.37, 95% CI 0.20-0.71, P < 0.001), 30 -day mortality (OR 0.51, 95% CI 0.35-0.74, P < 0.001), acute kidney injury (OR 0.45, 95% CI 0.35-0.59, P < 0.001), and bleeding (OR 0.35, 95% CI 0.27-0.46, P < 0.001) were significantly lower in patients undergoing TAVR compared to SAVR. In contrast, the odds of pacemaker implantation (OR 2.60, 95% CI 0.36-18.90, P = 0.34), postprocedural stroke (OR 0.36, 95% CI 0.13-1.03, P = 0.06) were similar between both groups of patients. Length of hospital stay was significantly lower in TAVR compared to SAVR patients (SMD-0.82, 95% CI-0.95 to-0.70, P < 0.001). In solid organ transplant patients, TAVR appeared to be a safe pro-cedure with fewer postprocedure complications, shorter length of hospital stay, and lower in hospital mortality compared with SAVR. (Curr Probl Cardiol 2023;48:101685.)
引用
收藏
页数:15
相关论文
共 35 条
  • [1] Short-Term Outcomes of Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement in Kidney Transplant Recipients (from the US Nationwide Representative Study)
    Abdelfattah, Omar M.
    Saad, Anas M.
    Abushouk, Abdelrahman
    Hassanein, Mohamed
    Isogai, Toshiaki
    Gad, Mohamed M.
    Ahuja, Keerat Rai
    Yun, James
    Krishnaswamy, Amar
    Kapadia, Samir
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2021, 144 : 83 - 90
  • [2] Transcatheter Aortic-Valve Replacement with a Self-Expanding Prosthesis
    Adams, David H.
    Popma, Jeffrey J.
    Reardon, Michael J.
    Yakubov, Steven J.
    Coselli, Joseph S.
    Deeb, G. Michael
    Gleason, Thomas G.
    Buchbinder, Maurice
    Hermiller, James, Jr.
    Kleiman, Neal S.
    Chetcuti, Stan
    Heiser, John
    Merhi, William
    Zorn, George
    Tadros, Peter
    Robinson, Newell
    Petrossian, George
    Hughes, G. Chad
    Harrison, J. Kevin
    Conte, John
    Maini, Brijeshwar
    Mumtaz, Mubashir
    Chenoweth, Sharla
    Oh, Jae K.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (19) : 1790 - 1798
  • [3] Challenges of valve surgeries in post-renal transplant patients
    Ahmad, Tanveer
    Kishore, Kolkebaile Sadanand
    Maheshwarappa, Nandakumar Neralakere
    Pasarad, Ashwini Kumar
    [J]. ANNALS OF CARDIAC ANAESTHESIA, 2015, 18 (04) : 603 - 605
  • [4] Outcomes in patients with solid organ transplants undergoing cardiac surgery
    Bianco, Valentino
    Kilic, Arman
    Gleason, Thomas G.
    Aranda-Michel, Edgar
    Harinstein, Matthew E.
    Thoma, Floyd
    Navid, Forozan
    Sultan, Ibrahim
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2020, 160 (03) : 701 - 707
  • [5] Solid organ transplantation in the 21st century
    Black, Cara K.
    Termanini, Kareem M.
    Aguirre, Oswaldo
    Hawksworth, Jason S.
    Sosin, Michael
    [J]. ANNALS OF TRANSLATIONAL MEDICINE, 2018, 6 (20)
  • [6] Büttner S, 2016, J AM COLL CARDIOL, V68, pB274
  • [7] Transcatheter aortic valve replacement outcomes in solid organ transplant recipients
    Campany, Megan E.
    Bhandarkar, Archis R.
    Bydon, Mohamad
    Donato, Britton B.
    Sell-Dottin, Kristen A.
    [J]. JOURNAL OF CARDIAC SURGERY, 2022, 37 (03) : 602 - 607
  • [8] Outcomes of Transcatheter Aortic Valve Replacement in Transplant Recipients
    Chahine, Johnny
    Gajulapalli, Rama D.
    Kadri, Amer N.
    Sammour, Yasser
    Puri, Rishi
    Reed, Grant W.
    Krishnaswamy, Amar
    Perez, Oscar
    Lak, Hassan
    Chawla, Sanchit
    Gad, Mohamed M.
    Yun, James
    Budev, Marie
    Fares, Maan
    Unai, Shinya
    Popovic, Zoran
    Kapadia, Samir R.
    [J]. STRUCTURAL HEART-THE JOURNAL OF THE HEART TEAM, 2020, 4 (04): : 329 - 333
  • [9] METAANALYSIS IN CLINICAL-TRIALS
    DERSIMONIAN, R
    LAIRD, N
    [J]. CONTROLLED CLINICAL TRIALS, 1986, 7 (03): : 177 - 188
  • [10] Outcomes of transcatheter versus surgical aortic valve replacement among solid organ transplant recipients
    Elbadawi, Ayman
    Ugwu, Justin
    Elgendy, Islam Y.
    Megaly, Michael
    Ogunbayo, Gbolahan O.
    Omer, Mohamed A.
    Elzeneini, Mohammed
    Chatila, Khaled
    Al-Azizi, Karim
    Goel, Sachin S.
    Gafoor, Sameer
    [J]. CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2021, 97 (04) : 691 - 698