Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
October 21, 2020Journal of Cardiac Surgery

Outcomes in techniques of valve sparing aortic root replacement: A systematic review and meta‐analysis

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Clinical outcomes comparing reimplantation versus remodeling techniques in patients undergoing valve-sparing aortic root replacement surgery needed evaluation.

Does reimplantation improve clinical outcomes and reduce aortic insufficiency compared to remodeling in patients undergoing valve-sparing aortic root replacement?

Population

1283 reimplantation and 1150 remodeling patients across 21 articles

Comparison

Reimplantation vs remodeling in valve-sparing aortic root replacement

Design

Systematic review and meta-analysis

Authors

STSteven TohJAJ.G. AngJGJoel Jacob George

Discussion

Loading...

Member takes

Overview

Comparable outcomes support surgeon-dependent choice in VSRR; leaves open optimal selection pending randomized trials.

Structured PICO

Does reimplantation improve clinical outcomes and reduce aortic insufficiency compared to remodeling in patients undergoing valve-sparing aortic root replacement?

P
Population
2,433 patients (from 21 articles) undergoing valve-sparing aortic root replacement (VSRR) surgery
I
Intervention
Reimplantation technique for valve-sparing aortic root replacement
C
Comparator
Remodeling technique for valve-sparing aortic root replacement
O
Outcome
Aortic valve (AV) reintervention and postoperative grade of aortic insufficiency (AI)hard clinical

Reimplantation and remodeling techniques for valve-sparing aortic root replacement yield comparable clinical outcomes, though reimplantation is associated with a lower rate of significant postoperative aortic insufficiency.

Limitations

  • Confounding factors
  • Need for larger sample size cohorts

Cite This Study

Toh et al. (2020) studied this question.

synapsesocial.com/papers/6a7577cc12165deef3dd740ahttps://doi.org/10.1111/jocs.15132
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reimplantation versus remodeling in valve-sparing surgery for aortic root aneurysms: a meta-analysis2020 · 16 citations
  2. 2Remodeling versus reimplantation in aortic root surgery – comparative results and risk factors for aortic insufficiency2023
  3. 3Aortic valve performance after remodelling versus reimplantation in a propensity-matched comparison2024 · 7 citations
  4. 4Valve-sparing aortic root replacement using the reimplantation (David) technique: a systematic review and meta-analysis on survival and clinical outcome2023 · 24 citations
  5. 5Aortic valve-sparing variants are getting closer2023