Meta-Analysis Comparing Percutaneous to Surgical Access in Trans-Femoral Transcatheter Aortic Valve Implantation

To compare the outcomes in trans-femoral transcatheter aortic valve implantation (TF-TAVI) performed with percutaneous approach (PC) versus surgical cut-down (SC). In 13 trials including 5859 patients (PC=3447, SC= 2412), the outcomes based on Valve Academic Research Consortium (VARC) criteria were compared between PC and SC in TF-TAVI. Compared with SC, PC was associated with similar major vascular complications (VCs) (8.7% vs. 8.5%; OR=0.93, 95% CI=0.76-1.15, p=0.53), major bleeding (OR=1.09, 95% CI=0.66-1.8, p=0.73), perioperative mortality (5.7% vs.

Source: The American Journal of Cardiology - January 26, 2020 Category: Cardiology Authors: Hesham K. Abdelaziz, Michael Megaly, Maciej Debski, Hazim Rahbi, Diaa Kamal, Marwan Saad, Andrew Wiper, Ranjit More, David H. Roberts Source Type: research