Carotid versus femoral access for transcatheter aortic valve implantation: a propensity score inverse probability weighting study

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Thierry FolliguetFabio Barili

Abstract

The transcarotid (TC) approach for transcatheter aortic valve implantation (TAVI) is potentially an optimal alternative to the transfemoral (TF) approach. Our goal was to compare the safety and efficacy of TC- and TF-TAVI. Patients who underwent TF-TAVI or TC-TAVI in the prospectively collected FRANCE TAVI registry between January 2013 and December 2015 were compared. Propensity score inverse probability weighting methods were employed to minimize the impact of bias related to non-random treatment assignment. Of the 11 033 patients included in the current study, 10 598 (96%) underwent a TF-TAVI and 435 (4.1%) had a TC-TAVI. Patients in the TC-TAVI access group presented with a higher risk profile but were significantly younger. There were no differences in the perioperative and 2-year mortality rates after adjustment [odds ratio (OR) 1.02, 95% confidence interval (CI) 0.62-1.68; P = 0.99 and hazard ratio 1.03, 95% CI 0.7-1.35; P = 0.83). TC-TAVI was associated with a significant risk of stroke (OR 2.42, 95% CI 2.01-2.92; P < 0.001), ST-elevation myocardial infarction (OR 7.32, 95% CI 3.87-13.87; P < 0.001), infections (OR 2.36, 95% CI 2.04-2.71; P < 0.001), bleeding (OR 2.01, 95% CI 1.76-2.29; P < 0.001), renal failure (OR 2.23...Continue Reading

References

Jan 17, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alexandre AzmounPhilippe Deleuze
May 27, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Cristina CiucaFrancesco Saia
May 28, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Sunil PatelHoward S Weber
Mar 12, 2016·JACC. Cardiovascular Interventions·Darren MylotteThomas Modine
Sep 22, 2016·Current Cardiology Reports·Jayendrakumar S PatelSamir R Kapadia
Apr 4, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Nikolaos BonarosMauro Romano
Jul 1, 2017·Journal of the American College of Cardiology·Vincent AuffretUNKNOWN FRANCE TAVI Investigators
Oct 5, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thierry FolliguetThomas Modine
Aug 3, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Masazumi WatanabeLouis Labrousse

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Citations

Feb 6, 2020·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Walid Ben AliThomas Modine
Jul 8, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Alberto M SettembriniGiuseppe Panuccio
Sep 21, 2020·The Annals of Thoracic Surgery·Laurent FarouxJosep Rodés-Cabau
Feb 28, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Martin Czerny
May 13, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Daniel P McGrathYong Zhan
May 31, 2021·The Journal of Thoracic and Cardiovascular Surgery·Lucía JunqueraSiamak Mohammadi
Oct 10, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thierry Folliguet

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