Transcarotid Transcatheter Aortic Valve Replacement in an Octogenarian With Complex Type B Aortic Dissection and Aneurysm: A Case Report

Liang, Kae‐Woei; Yu, Chu-Leng; Lin, Wei‐Wen; Lee, Wen-Lieng

doi:10.1016/j.cjco.2021.04.013

Cited by 1 publication

(9 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An overview of the studies is provided in Table 1 (Ref. [ 8 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ]). Most of these studies had a moderate risk of bias in accordance with the Newcastle-Ottawa Scale, as shown in Supplementary Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Different types of transcatheter heart valves were used as cited by the twenty studies (Table 2b , Ref. [ 8 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ]). Most of these studies used SAPIEN and CoreValve which are largely imported from western countries, while a minority used heart valves produced in Asia like the J-Valve and LOTUS.…”

Section: Resultsmentioning

confidence: 99%

“…Aortic regurgitation was reported in 1028 patients in thirteen studies with a weighted mean of 14.46

12.56% [ 16 , 19 , 20 , 22 , 23 , 24 , 25 , 28 , 29 , 31 , 32 , 33 , 34 ]. The presence of a bicuspid valve was reported in seven studies involving 860 out of 9855 patients with a weighted mean of 8.72

12.87% [ 8 , 17 , 18 , 21 , 26 , 27 , 30 ]. Left ventricular ejection fraction was reported in sixteen studies, and the weighted mean left ventricular ejection fraction was 60.46

4.36% [ 8 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 25 , 26 , 28 , 30 , 31 , 32 , 33 , 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Table 4 (Ref. [8,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]) shows an overview of the acute procedural complications reported by the included studies as outcomes.…”

Section: Complicationsmentioning

confidence: 99%

“…A forest plot presenting all the reporting studies is shown in Fig. 9 [8,16,[18][19][20][21][22][24][25][26][27][30][31][32][33].…”

Section: Major Vascular Complicationsmentioning

confidence: 99%

See 4 more Smart Citations

Transcatheter Aortic Valve Implantation Outcomes and Challenges in Asia: A Systematic Review and Meta-Analysis

Rivera¹,

Luna²,

Ansay³

et al. 2023

Rev. Cardiovasc. Med.

View full text Add to dashboard Cite

Background: Aortic stenosis (AS) is the world's most prevalent heart valve disease. Transcatheter aortic valve replacement (TAVR) or Implantation (TAVI) is widely available yet adopting this procedure in Asia has been slow due to high device cost, the need for specific training programs, and the lack of specialized heart teams and dedicated infrastructures. The limited number of randomized controlled trials describing TAVI outcomes among the Asian population hampered the approval for medical reimbursements as well as acceptance among surgeons and operators in some Asian countries. Methods: A comprehensive medical literature search on TAVI and/or TAVR performed in Asian countries published between January 2015 and June 2022 was done through MEDLINE and manual searches of bibliographies. The full text of eligible articles was obtained and evaluated for final analysis. The event rates for key efficacy and safety outcomes were calculated using the data from the registries and randomized controlled trials. Results: A total of 15,297 patients were included from 20 eligible studies. The mean patient age was 82.88 ± 9.94 years, with over half being females (62.01%). All but one study reported Society of Thoracic Surgeons (STS) scores averaging an intermediate risk score of 6.28 ± 1.06%. The mean logistic European Systems for Cardiac Operations Risk Evaluation (EuroSCORE) was 14.85. The mean baseline transaortic gradient and mean aortic valve area were 50.93 ± 3.70 mmHg and 0.64 ± 0.07 cm 2 , respectively. The mean procedural success rate was 95.28 ± 1.51%. The weighted mean 30-day and 1-year all-cause mortality rate was 1.66 ± 1.21% and 8.79 ± 2.3%, respectively. The mean average for stroke was 1.98 ± 1.49%. The acute kidney injury (AKI) rate was 6.88 ± 5.71%. The overall major vascular complication rate was 2.58 ± 2.54%; the overall major bleeding rate was 3.88 ± 3.74%. Paravalvular aortic regurgitation rate was 15.07 ± 9.58%. The overall rate of pacemaker insertion was 7.76 ± 4.6%. Conclusions: Compared to Americans and Europeans, Asian patients who underwent TAVI had lower all-cause mortality, bleeding, and vascular complications, however, had a higher rate of postprocedural aortic regurgitation. More studies with greater sample sizes are needed among Asian patients for a more robust comparison.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Aortic regurgitation was reported in 1028 patients in thirteen studies with a weighted mean of 14.46

12.87% [ 8 , 17 , 18 , 21 , 26 , 27 , 30 ]. Left ventricular ejection fraction was reported in sixteen studies, and the weighted mean left ventricular ejection fraction was 60.46

4.36% [ 8 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 25 , 26 , 28 , 30 , 31 , 32 , 33 , 34 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

“…A forest plot presenting all the reporting studies is shown in Fig. 9 [8,16,[18][19][20][21][22][24][25][26][27][30][31][32][33].…”

Section: Major Vascular Complicationsmentioning

confidence: 99%

See 3 more Smart Citations

Transcatheter Aortic Valve Implantation Outcomes and Challenges in Asia: A Systematic Review and Meta-Analysis

Rivera¹,

Luna²,

Ansay³

et al. 2023

Rev. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

Transcarotid Transcatheter Aortic Valve Replacement in an Octogenarian With Complex Type B Aortic Dissection and Aneurysm: A Case Report

Cited by 1 publication

References 9 publications

Transcatheter Aortic Valve Implantation Outcomes and Challenges in Asia: A Systematic Review and Meta-Analysis

Transcatheter Aortic Valve Implantation Outcomes and Challenges in Asia: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About