Trans-femoral Versus Trans-carotid Access for Transcatheter Aortic Valve Replacement: an Updated Systematic Review and Meta-analysis

Overview

Journal Future Sci OA

Specialty Biotechnology

Date 2024 May 31

PMID 38817364

Authors

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

Affiliations

Soon will be listed here.

Abstract

This meta-analysis aims to shed light on any primacy the -carotid (TC-TAVR) access may have over the -femoral access (TF-TAVR) for those undergoing transcatheter aortic valve replacement (TAVR). 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. 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. As of this analysis, the viability of TC-TAVR as first alternative to TF-TAVR is plausible.

Citing Articles

Is catheterization via distal transradial access feasible in children? From vessel diameter perspective.

Zhao Y, Chen T, Yang L, Mao W, Wan Y, Zhang L Front Cardiovasc Med. 2024; 11:1428083.

PMID: 39156135 PMC: 11327814. DOI: 10.3389/fcvm.2024.1428083.

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