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

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

doi:10.1016/j.ccl.2024.02.017

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

Cardiol Clin. 2024 Aug;42(3):373-387. doi: 10.1016/j.ccl.2024.02.017. Epub 2024 Mar 27.

Affiliations

¹ Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
² Department of Cardiothoracic Surgery, Friedrich Schiller University, Jena, Germany.
³ Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA, USA; UPMC Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
⁴ Department of Cardiac Surgery, St. Boniface Hospital, University of Manitoba, Winnepeg, Canada.
⁵ Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec City, Québec, Canada; Department of Medicine, Université Laval, Québec City, Québec, Canada.
⁶ Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA, USA; UPMC Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: [email protected].

PMID: 38910022
DOI: 10.1016/j.ccl.2024.02.017

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.

Keywords: Aortic valve; Cardiac surgical procedures; Cardiovascular surgical procedures; Heart valve prosthesis implantation; Meta-analysis; Transcatheter aortic valve replacement.

Publication types

Meta-Analysis
Review

MeSH terms

Aortic Valve Stenosis* / surgery
Aortic Valve* / surgery
Heart Valve Prosthesis*
Humans
Prosthesis Design*
Time Factors
Transcatheter Aortic Valve Replacement* / methods
Treatment Outcome