Transcatheter Versus Surgical Aortic Valve Replacement in Low-Surgical-Risk Patients: A Meta-Analysis of Randomized-Controlled Trials and Propensity-Matched Studies
Highlights
- • TAVI in low surgical risk patients was associated with lower short-term mortality when compared with SAVR.
- • Analysis of RCTs showed superiority of TAVI for long-term mortality as compared to SAVR.
- • Incidence of stroke was no different in TAVI compared with SAVR, on both short and long-term follow-ups.
- • Incidence of atrial fibrillation was more common among patients undergoing SAVR as compared to TVI.
- • Overall, TAVI in low surgical risk patients was associated with lower short-term morbidity and mortality compared with SAVR.
Abstract
Background
We performed a meta-analysis of randomized trials (RCT) and propensity-matched (PSM) studies comparing transcatheter aortic valve implantation (TAVI) with surgical aortic valve replacement (SAVR) in low surgical risk patients.