Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis
Aim: This meta-analysis aims to shed light on any primacy the trans-carotid (TC-TAVR) access may have over the trans-femoral access (TF-TAVR) for those undergoing transcatheter aortic valve replacement (TAVR). Methods: PubMed/MEDLINE and Cochrane Library were searched, from inception to March 2023 r...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Future Science OA |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.2144/fsoa-2023-0101 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849431073942929408 |
|---|---|
| author | Naser Yamani Syed Hasham Ali Mahnoor Sadiq Afeera B Ahmed Kapil D Bhojwani Vivek P Lohana Saba Fatmah Shazra Khalid Hammad R Shamsi Batool Zehra Kaneez Fatima Zulfiqar Q Baloch |
| author_facet | Naser Yamani Syed Hasham Ali Mahnoor Sadiq Afeera B Ahmed Kapil D Bhojwani Vivek P Lohana Saba Fatmah Shazra Khalid Hammad R Shamsi Batool Zehra Kaneez Fatima Zulfiqar Q Baloch |
| author_sort | Naser Yamani |
| collection | DOAJ |
| description | Aim: This meta-analysis aims to shed light on any primacy the trans-carotid (TC-TAVR) access may have over the trans-femoral access (TF-TAVR) for those undergoing transcatheter aortic valve replacement (TAVR). Methods: PubMed/MEDLINE and Cochrane Library were searched, from inception to March 2023 retrieving seven adjusted studies with a total of 6609 patients, of which 5048 underwent TF-TAVR while 1561 underwent TC-TAVR. Results: No divergence in risk of mortality, major bleeding or stroke/transient ischemic attack in TC-TAVR when compared with TF-TAVR was found. In TC-TAVR, the risk of vascular complications was low (OR: 0.51, 95% CI: 0.32–0.83, p = 0.003) as compared with TF-TAVR. Conclusion: As of this analysis, the viability of TC-TAVR as first alternative to TF-TAVR is plausible. |
| format | Article |
| id | doaj-art-de831289cc634414a3585d110b2a7b32 |
| institution | Kabale University |
| issn | 2056-5623 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Future Science OA |
| spelling | doaj-art-de831289cc634414a3585d110b2a7b322025-08-20T03:27:44ZengTaylor & Francis GroupFuture Science OA2056-56232024-12-0110110.2144/fsoa-2023-0101Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysisNaser Yamani0Syed Hasham Ali1Mahnoor Sadiq2Afeera B Ahmed3Kapil D Bhojwani4Vivek P Lohana5Saba Fatmah6Shazra Khalid7Hammad R Shamsi8Batool Zehra9Kaneez Fatima10Zulfiqar Q Baloch11Division of Cardiology, University of Arizona Phoenix Medical Center, AZ 85721, USAFaculty of Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, 74200, PakistanFaculty of Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, 74200, PakistanFaculty of Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, 74200, PakistanFaculty of Medicine, Dow International Medical College, Dow University of Health Sciences, Karachi, 74200, PakistanFaculty of Medicine, Dow International Medical College, Dow University of Health Sciences, Karachi, 74200, PakistanFaculty of Medicine, Karachi Medical & Dental College, Karachi, 74700, PakistanFaculty of Medicine, Sindh Medical College, Jinnah Sindh Medical University, Karachi, 75510, PakistanFaculty of Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, 74200, PakistanFaculty of Medicine, Karachi Medical & Dental College, Karachi, 74700, PakistanFaculty of Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, 74200, PakistanDivision of Cardiology, Sparrow Hospital, Michigan State University, MI 48912, USAAim: This meta-analysis aims to shed light on any primacy the trans-carotid (TC-TAVR) access may have over the trans-femoral access (TF-TAVR) for those undergoing transcatheter aortic valve replacement (TAVR). Methods: PubMed/MEDLINE and Cochrane Library were searched, from inception to March 2023 retrieving seven adjusted studies with a total of 6609 patients, of which 5048 underwent TF-TAVR while 1561 underwent TC-TAVR. Results: No divergence in risk of mortality, major bleeding or stroke/transient ischemic attack in TC-TAVR when compared with TF-TAVR was found. In TC-TAVR, the risk of vascular complications was low (OR: 0.51, 95% CI: 0.32–0.83, p = 0.003) as compared with TF-TAVR. Conclusion: As of this analysis, the viability of TC-TAVR as first alternative to TF-TAVR is plausible.https://www.tandfonline.com/doi/10.2144/fsoa-2023-0101cardiologycardiovascularoutcomes researchsurgery |
| spellingShingle | Naser Yamani Syed Hasham Ali Mahnoor Sadiq Afeera B Ahmed Kapil D Bhojwani Vivek P Lohana Saba Fatmah Shazra Khalid Hammad R Shamsi Batool Zehra Kaneez Fatima Zulfiqar Q Baloch Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis Future Science OA cardiology cardiovascular outcomes research surgery |
| title | Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis |
| title_full | Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis |
| title_fullStr | Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis |
| title_full_unstemmed | Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis |
| title_short | Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis |
| title_sort | trans femoral versus trans carotid access for transcatheter aortic valve replacement an updated systematic review and meta analysis |
| topic | cardiology cardiovascular outcomes research surgery |
| url | https://www.tandfonline.com/doi/10.2144/fsoa-2023-0101 |
| work_keys_str_mv | AT naseryamani transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT syedhashamali transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT mahnoorsadiq transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT afeerabahmed transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT kapildbhojwani transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT vivekplohana transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT sabafatmah transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT shazrakhalid transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT hammadrshamsi transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT batoolzehra transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT kaneezfatima transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis AT zulfiqarqbaloch transfemoralversustranscarotidaccessfortranscatheteraorticvalvereplacementanupdatedsystematicreviewandmetaanalysis |