Valve in valve transcatheter aortic valve implantation (ViV-TAVI) versus redo-Surgical aortic valve replacement (redo-SAVR): A systematic review and meta-analysis

Journal of Interventional Cardiology
Nikhil NalluriChad Kliger

Abstract

Bioprosthetic (BP) valves have been increasingly used for aortic valve replacement over the last decade. Due to their limited durability, patients presenting with failed BP valves are rising. Valve in Valve - Transcatheter Aortic Valve Implantation (ViV-TAVI) emerged as an alternative to the gold standard redo-Surgical Aortic Valve Replacement (redo-SAVR). However, the utility of ViV-TAVI is poorly understood. A systematic electronic search of the scientific literature was done in PubMed, EMBASE, SCOPUS, Google Scholar, and ClinicalTrials.gov. Only studies which compared the safety and efficacy of ViV-TAVI and redo-SAVR head to head in failed BP valves were included. Six observational studies were eligible and included 594 patients, of whom 255 underwent ViV- TAVI and 339 underwent redo-SAVR. There was no significant difference between ViV-TAVI and redo- SAVR for procedural, 30 day and 1 year mortality rates. ViV-TAVI was associated with lower risk of permanent pacemaker implantation (PPI) (OR: 0.43, CI: 0.21-0.89; P = 0.02) and a trend toward increased risk of paravalvular leak (PVL) (OR: 5.45, CI: 0.94-31.58; P = 0.06). There was no significant difference for stroke, major bleeding, vascular complications and postprocedural a...Continue Reading

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Citations

Dec 19, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michal SzlapkaS Christopher Malaisrie
Dec 10, 2019·Expert Review of Cardiovascular Therapy·Maria Von StummEvaldas Girdauskas
Sep 1, 2019·Biomechanics and Modeling in Mechanobiology·Halit YaakobovichGil Marom
Apr 22, 2020·Journal of Intensive Care Medicine·Jacob C JentzerCharanjit Rihal
Jul 12, 2020·Journal of Cardiac Surgery·Eilon Ram, Leonid Sternik
Nov 26, 2020·Interactive Cardiovascular and Thoracic Surgery·Iuliana CotiMartin Andreas
Dec 7, 2020·Interactive Cardiovascular and Thoracic Surgery·Katrien FrançoisThierry Bové
Oct 23, 2020·Journal of Cardiovascular Translational Research·Sabin J BozsoJeevan Nagendran
Feb 16, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Arif A KhokharFrancesco Giannini
Mar 9, 2021·Journal of the American Heart Association·Sascha MachereyTobias Schmidt
Aug 1, 2020·Journal of the American College of Cardiology·Pierre DeharoLaurent Fauchier
Apr 30, 2021·Circulation Research·Marko T Boskovski, Thomas G Gleason
May 1, 2021·Expert Review of Cardiovascular Therapy·Steven S QiFrederick J Schoen
Nov 2, 2020·The Annals of Thoracic Surgery·Parth M PatelEdward P Chen
Aug 7, 2021·Medicina·Niccolò CiardettiCarlo Di Mario
Aug 12, 2021·Seminars in Thoracic and Cardiovascular Surgery·Jawad KhazaalCharles Willekes
Aug 18, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Charles H ChoiDavid X M Zhao
Nov 24, 2021·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·Rodrigo SalgadoRicardo P J Budde

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