Balloon-expandable versus self-expanding transcatheter aortic valve replacement for bioprosthetic dysfunction: A systematic review and meta-analysis

Hsiu-An Lee, An-Hsun Chou, Victor Chien-Chia Wu, Dong-Yi Chen, Hsin-Fu Lee, Kuang-Tso Lee, Pao-Hsien Chu, Yu-Ting Cheng, Shang-Hung Chang and Shao-Wei Chen

PLOS ONE, 2020, vol. 15, issue 6, 1-14

Abstract: Background: Transcatheter aortic valve-in-valve (VIV) procedure is a safe alternative to conventional reoperation for bioprosthetic dysfunction. Balloon-expandable valve (BEV) and self-expanding valve (SEV) are the 2 major types of devices used. Evidence regarding the comparison of the 2 valves remains scarce. Methods: A systematic review and meta-analysis was conducted to compare the outcomes of BEV and SEV in transcatheter VIV for aortic bioprostheses dysfunction. A computerized search of Medline, PubMed, Embase, and Cochrane databases was performed. English-language journal articles reporting SEV or BEV outcomes of at least 10 patients were included. Results: In total, 27 studies were included, with 2,269 and 1,671 patients in the BEV and SEV groups, respectively. Rates of 30-day mortality and stroke did not differ significantly between the 2 groups. However, BEV was associated with significantly lower rates of postprocedural permanent pacemaker implantation (3.8% vs. 12%; P

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0233894

DOI: 10.1371/journal.pone.0233894

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