Comparative Analysis of PCI Strategies in Aortic Stenosis Patients Undergoing TAVI: A Systematic Review and Network Meta-Analysis.
Parisa FallahtaftiHamidreza SoleimaniPouya EbrahimiAmirhossein Ghaseminejad-RaeiniElaheh KarimiAmirhossein ShirinezhadMahshad SabriMehdi MehraniHoma TaheriRobert SiegelNeeraj N ShahMichael NannaDiaa HakimKaveh HosseiniPublished in: Clinical cardiology (2024)
Our findings suggest that among patients with severe AS and CAD undergoing TAVI, PCI concomitantly with TAVI seems to be associated with worse 30-day outcomes compared with no PCI. PCI after TAVI demonstrated an increased risk of 1-year mortality compared to alternative strategies. Choosing a timing strategy should be individualized based on patient characteristics and procedural considerations.
Keyphrases
- aortic stenosis
- coronary artery disease
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- percutaneous coronary intervention
- aortic valve replacement
- aortic valve
- cardiovascular events
- ejection fraction
- acute myocardial infarction
- acute coronary syndrome
- antiplatelet therapy
- st elevation myocardial infarction
- patients undergoing
- coronary artery bypass grafting
- st segment elevation myocardial infarction
- left ventricular
- atrial fibrillation
- type diabetes
- heart failure
- risk factors
- early onset
- cardiovascular disease
- metabolic syndrome
- weight loss
- skeletal muscle