October 3, 2016Journal of Cardiac Surgery

Percutaneous versus surgical cut-down access in transfemoral transcatheter aortic valve replacement: A meta-analysis

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Why the study?

Does percutaneous access compared to surgical cut-down improve safety outcomes in patients undergoing transfemoral TAVR?

Structured PICO

Does percutaneous access compared to surgical cut-down improve safety outcomes in patients undergoing transfemoral TAVR?

Population

4,280 patients undergoing transfemoral transcatheter aortic valve replacement (TF-TAVR) pooled from 8 observational cohort studies and 1 RCT (n=2,513 in percutaneous group, n=1,767 in surgical cut-down group).

Intervention

Percutaneous (PC) access for TF-TAVR

Comparator

Surgical cut-down (SC) access for TF-TAVR

Outcome

Major and minor vascular complications (VC), major and minor bleeding, and perioperative all-cause mortality (based on Valve Academic Research Consortium criteria)safety

Percutaneous and surgical cut-down access for transfemoral TAVR have similar safety profiles and perioperative outcomes.

Discussion

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Implication

Supports either percutaneous or surgical cut-down for transfemoral TAVR; confirms comparable vascular, bleeding, and mortality outcomes.

Cite This Study

Ando et al. (2016) studied this question.

synapsesocial.com/papers/6a7d86036ef7ec97ba7d8123 https://doi.org/10.1111/jocs.12842

Topics

Transcatheter aortic valve replacement TAVR in low-risk patients

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Ask AI

Bookmark

Percutaneous versus surgical cut-down access in transfemoral transcatheter aortic valve replacement: A meta-analysis

Structured PICO

Discussion

Implication

Cite This Study

Topics

Percutaneous versus surgical cut-down access in transfemoral transcatheter aortic valve replacement: A meta-analysis

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider