Complete transcatheter versus complete surgical treatment in patients with aortic valve stenosis and concomitant coronary artery disease: Study-level meta-analysis with reconstructed time-to-event data.
Michel Pompeu Barros Oliveira SáTian SunAli Fatehi HassanabadAhmed K AwadJef Van den EyndeJohn H MalinSerge SicouriGianluca TorregrossaArjang RuhparwarAlexander WeymannBasel RamlawiPublished in: Journal of cardiac surgery (2022)
Patients who undergo TAVI plus PCI (in comparison with SAVR plus CABG) initially experience lower rates of in-hospital death and AKI; however, they experience significantly lower survival rates and more MACCE at 5-year follow up. Structural heart surgeons and interventional cardiologists should consider these aspects when referring patients for one approach or the other.
Keyphrases
- aortic valve
- coronary artery disease
- aortic stenosis
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- ejection fraction
- systematic review
- aortic valve replacement
- end stage renal disease
- coronary artery bypass grafting
- percutaneous coronary intervention
- newly diagnosed
- chronic kidney disease
- acute kidney injury
- heart failure
- healthcare
- acute myocardial infarction
- atrial fibrillation
- acute coronary syndrome
- quality improvement
- cardiovascular events
- prognostic factors
- type diabetes
- randomized controlled trial
- big data
- antiplatelet therapy
- st segment elevation myocardial infarction
- cardiovascular disease
- meta analyses
- adverse drug
- thoracic surgery
- drug induced