January 14, 2015Catheterization and Cardiovascular Interventions
Surgical cutdown versus percutaneous access in transfemoral transcatheter aortic valve implantation: Insights from the Brazilian TAVI registry
Key result
A complete percutaneous approach for transfemoral TAVI yielded similar 1-year rates of combined mortality, bleeding, or vascular complications compared to surgical cutdown (30.9% vs 28.8%; P=0.8).
Why the study?
Does a complete percutaneous vascular access approach reduce combined adverse events compared to a surgical cutdown approach in patients undergoing transfemoral TAVI?
Population
402 patients treated via transfemoral transcatheter aortic valve implantation from 18 centers in the…
Comparison
Complete percutaneous vascular access approach vs Surgical cutdown vascular access approach
Design
Cohort
Follow-up
1 year
Authors
Discussion
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Member takes
Implication
May support percutaneous access as alternative to cutdown in transfemoral TAVI; leaves open randomized confirmation.
Study Design
Type
Observational (n=402)
Multicenter
Yes
Structured PICO
Does a complete percutaneous vascular access approach reduce combined adverse events compared to a surgical cutdown approach in patients undergoing transfemoral TAVI?
P
Population
402 patients treated via transfemoral transcatheter aortic valve implantation (TAVI) from 18 centers in the Brazilian TAVI registry
I
Intervention
Complete percutaneous vascular access approach
C
Comparator
Surgical cutdown vascular access approach
O
Outcome
Incidence of combined adverse events (all-cause mortality, life-threatening bleeding, and/or major vascular complication) at 1 yearcomposite
Main Result
Absolute Event Rate: 30.9% vs 28.8%
p-value: p=0.8
Complete percutaneous access and surgical cutdown provide similar safety and effectiveness at 1 year for patients undergoing transfemoral TAVI.
Cite This Study
Bernardi et al. (2015) conducted an observational in Transfemoral transcatheter aortic valve implantation (TAVI) (n=402). Complete percutaneous approach vs. Surgical cutdown approach was evaluated on Combined adverse events all-cause mortality, life-threatening bleeding, and/or major vascular complication at 1 year (p=0.8). A complete percutaneous approach for transfemoral TAVI yielded similar 1-year rates of combined mortality, bleeding, or vascular complications compared to surgical cutdown (30.9% vs 28.8%; P=0.8).