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经导管主动脉瓣植入术中球囊瓣膜与自膨胀瓣膜的远期疗效:重构事件发生时间数据的荟萃分析

Late Outcomes After Transcatheter Aortic Valve Implantation with Balloon-Versus Self-Expandable Valves: Meta-Analysis of Reconstructed Time-To-Event Data.

作者信息

Jacquemyn Xander, Van den Eynde Jef, Caldonazo Tulio, Brown James A, Dokollari Aleksander, Serna-Gallegos Derek, Clavel Marie-Annick, Pibarot Philippe, Sultan Ibrahim, Sá Michel Pompeu

机构信息

Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.

Department of Cardiothoracic Surgery, Friedrich Schiller University, Jena, Germany.

出版信息

Interv Cardiol Clin. 2025 Jul;14(3):351-366. doi: 10.1016/j.iccl.2024.09.003.

Abstract

Self-expanding valves (SEV) and balloon-expandable valves (BEV) for transcatheter aortic valve implantation (TAVI) have their own features. There is a growing interest in long-term outcomes with the adoption of lifetime management in younger patients. To evaluate late outcomes in TAVI with SEV versus BEV, we performed a study-level meta-analysis of reconstructed time-to-event data published by May 31, 2023. We found no statistically significant difference in all-cause death after TAVI with SEV versus BEV. Randomized controlled trials are warranted to validate our results.

摘要

用于经导管主动脉瓣植入术(TAVI)的自膨胀瓣膜(SEV)和球囊扩张瓣膜(BEV)各有特点。随着在年轻患者中采用终身管理,人们对长期预后的兴趣日益浓厚。为了评估SEV与BEV在TAVI中的晚期预后,我们对截至2023年5月31日发表的重构事件发生时间数据进行了研究层面的荟萃分析。我们发现,SEV与BEV在TAVI后的全因死亡方面无统计学显著差异。需要进行随机对照试验来验证我们的结果。

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本文引用的文献

1
Late Outcomes of Permanent Pacemaker Implantation After TAVR: Meta-analysis of Reconstructed Time-to-Event Data.
J Soc Cardiovasc Angiogr Interv. 2022 Aug 13;1(5):100434. doi: 10.1016/j.jscai.2022.100434. eCollection 2022 Sep-Oct.
2
Self-Expanding Transcatheter Aortic Valves Optimize Transvalvular Hemodynamics Independent of Intra- Versus Supra-Annular Design.
Am J Cardiol. 2023 Nov 15;207:48-53. doi: 10.1016/j.amjcard.2023.08.120. Epub 2023 Sep 16.
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Long-term durability of self-expanding and balloon-expandable transcatheter aortic valve prostheses: UK TAVI registry.
Catheter Cardiovasc Interv. 2023 Apr;101(5):932-942. doi: 10.1002/ccd.30627. Epub 2023 Mar 15.
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Impact of Prosthesis-Patient Mismatch After Transcatheter Aortic Valve Replacement: Meta-Analysis of Kaplan-Meier-Derived Individual Patient Data.
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