Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis

被引：1

作者：

Yamani, Naser ^{[1
]}

Ali, Syed Hasham ^{[2
]}

Sadiq, Mahnoor ^{[2
]}

Ahmed, Afeera B. ^{[2
]}

Bhojwani, Kapil D. ^{[3
]}

Lohana, Vivek P. ^{[3
]}

Fatmah, Saba ^{[4
]}

Khalid, Shazra ^{[5
]}

Shamsi, Hammad R. ^{[2
]}

Zehra, Batool ^{[4
]}

Fatima, Kaneez ^{[2
]}

Baloch, Zulfiqar Q. ^{[6
]}

机构：

[1] Univ Arizona, Phoenix Med Ctr, Div Cardiol, Phoenix, AZ 85721 USA

[2] Dow Univ Hlth Sci, Dow Med Coll, Fac Med, Karachi 74200, Pakistan

[3] Dow Univ Hlth Sci, Dow Int Med Coll, Fac Med, Karachi 74200, Pakistan

[4] Karachi Med & Dent Coll, Fac Med, Karachi 74700, Pakistan

[5] Jinnah Sindh Med Univ, Sindh Med Coll, Fac Med, Karachi 75510, Pakistan

[6] Michigan State Univ, Sparrow Hosp, Div Cardiol, E Lansing, MI 48912 USA

来源：

FUTURE SCIENCE OA | 2024年 / 10卷 / 01期

关键词：

cardiology; cardiovascular; outcomes research; surgery; IMPLANTATION; OUTCOMES;

D O I：

10.2144/fsoa-2023-0101

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Aim: This meta-analysis aims to shed light on any primacy the trans-carotid (TC-TAVR) access may have over the trans-femoral access (TF-TAVR) for those undergoing transcatheter aortic valve replacement (TAVR). Methods: PubMed/MEDLINE and Cochrane Library were searched, from inception to March 2023 retrieving seven adjusted studies with a total of 6609 patients, of which 5048 underwent TF-TAVR while 1561 underwent TC-TAVR. Results: No divergence in risk of mortality, major bleeding or stroke/transient ischemic attack in TC-TAVR when compared with TF-TAVR was found. In TC-TAVR, the risk of vascular complications was low (OR: 0.51, 95% CI: 0.32-0.83, p = 0.003) as compared with TF-TAVR. Conclusion: As of this analysis, the viability of TC-TAVR as first alternative to TF-TAVR is plausible.

引用

页数：11

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