Transcatheter aortic valve implantation for native aortic valve regurgitation: A systematic review and meta-analysis
- VernacularTitle:经导管主动脉瓣植入术治疗单纯主动脉瓣反流的系统评价与Meta分析
- Author:
Mingming YUAN
1
;
Lijun WANG
1
;
Qicai WU
1
Author Information
1. Institute of Cardiovascular Diseases, The First Affiliated Hospital of Nanchang University, Nanchang, 330000, P. R. China
- Publication Type:Journal Article
- Keywords:
Transcatheter aortic valve implantation;
transcatheter aortic valve replacement;
aortic valve regurgitation;
systematic review/meta-analysis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(02):233-239
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of transcatheter aortic valve implantation (TAVI) for native aortic valve regurgitation. Methods Literature from The Cochrane Library, PubMed, EMbase, Cochrane Controlled Trials Registry, ClinicalTrials.gov and China Biomedical Literature Database from January 2002 to May 2021 were searched by computer. The literature on TAVI or transcatheter aortic valve replacement treatment for simple aortic reflux were collected. Two reviewers independently screened the literature according to the inclusion and exclusion criteria, extracted data, and assessed the quality of the literature. Meta-analysis was performed using STATA 14.0 software. Results A total of 15 studies including 1 394 patients were included. The Newcastle-Ottawa Scales of the studies were≥6 points. The success rate of prosthetic valve implantation was 72.0%-100.0%, and there was no report of serious complications such as surgical death, myocardial infarction, and valve annulus rupture. The 30-day all-cause mortality rate was 6.3% [95%CI (3.4%, 9.1%)]. The incidence of stroke within 30 days and the rate of postoperative permanent pacemaker implantation were 2.0% [95%CI (1.0%, 4.0%)] and 6.0% [95%CI (4.0%, 10.0%)], respectively, and were both within acceptable limits. Conclusion For patients with simple high-risk aortic regurgitation, TAVI can obtain satisfactory treatment effects and has low postoperative complications rate, and it may be a potential treatment option for such patients.
