Clinical Outcomes Following Isolated Transcatheter Tricuspid Valve Repair A Meta-Analysis and Meta-Regression Study

被引:22
|
作者
Bocchino, Pier Paolo [1 ]
Angelini, Filippo [1 ]
Vairo, Alessandro [1 ]
Andreis, Alessandro [1 ]
Fortuni, Federico [1 ,2 ]
Franchin, Luca [1 ]
Frea, Simone [1 ]
Raineri, Claudia [1 ]
Pidello, Stefano [1 ]
Conrotto, Federico [1 ]
Montefusco, Antonio [1 ]
Alunni, Gianluca [1 ]
De Ferrari, Gaetano Maria [1 ]
机构
[1] Univ Turin, Dept Med Sci, Div Cardiol, Cilia Salute & Sci Hosp, Turin, Italy
[2] Leiden Univ, Dept Cardiol, Med Ctr, Leiden, Netherlands
关键词
transcatheter intervention; transcatheter tricuspid valve repair; tricuspid regurgitation; tricuspid valve; TTVR; EARLY FEASIBILITY; REGURGITATION; SYSTEM; DISEASE; IMPACT;
D O I
10.1016/j.jcin.2021.08.050
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES The aim of this study was to assess the pooled clinical and echocardiographic outcomes of different isolated transcatheter tricuspid valve repair (ITTVR) strategies for significant (moderate or greater) tricuspid regurgitation (TR). BACKGROUND Significant TR is a common valvular heart disease worldwide. METHODS Published research was systematically searched for studies evaluating the efficacy and safety of ITTVR for significant TR in adults. The primary outcomes were improvement in New York Heart Association (NYHA) functional class and 6-minute walking distance and the presence of severe or greater TR at the last available follow-up of each individual study. Random-effect meta-analysis was performed comparing outcomes before and after ITTVR. RESULTS Fourteen studies with 771 patients were included. The mean age was 77 +/- 8 years, and the mean European System for Cardiac Operative Risk Evaluation II score was 6.8% +/- 5.4%. At a weighted mean follow-up of 212 days, 209 patients (35%) were in NYHA functional class III or IV compared with 586 patients (84%) at baseline (risk ratio: 0.23; 95% CI: 0.13-0.40; P < 0.001). Six-minute walking distance significantly improved from 237 +/- 113 m to 294 +/- 105 m (mean difference +50 m; 95% CI: +34 to +66 m; P < 0.001). One hundred forty-seven patients (24%) showed severe or greater TR after ITTVR compared with 616 (96%) at baseline (risk ratio: 0.29; 95% CI: 0.20-0.42; P < 0.001). CONCLUSIONS Patients undergoing ITTVR for significant TR experienced significant improvements in NYHA functional status and 6-minute walking distance and a significant reduction in TR severity at mid-term follow-up. (J Am Coll Cardiol Intv 2021;14:2285-2295) (c) 2021 by the American College of Cardiology Foundation.
引用
收藏
页码:2285 / 2295
页数:11
相关论文
共 50 条
  • [21] Isolated tricuspid valve surgery-Repair versus replacement: A meta-analysis
    Sarris-Michopoulos, Panagiotis
    Macias, Alejandro E.
    Sarris-Michopoulos, Constantine
    Woodhouse, Palina
    Buitrago, Daniel
    Salerno, Tomas A.
    Magarakis, Michael
    JOURNAL OF CARDIAC SURGERY, 2022, 37 (02) : 329 - 335
  • [22] A meta-analysis and meta-regression of long-term outcomes of transcatheter versus surgical aortic valve replacement for severe aortic stenosis
    Villablanca, Pedro A.
    Mathew, Verghese
    Thourani, Vinod H.
    Rodes-Cabau, Josep
    Bangalore, Sripal
    Makkiya, Mohammed
    Vlismas, Peter
    Briceno, David F.
    Slovut, David P.
    Taub, Cynthia C.
    McCarthy, Patrick M.
    Augoustides, John G.
    Ramakrishna, Harish
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2016, 225 : 234 - 243
  • [23] A Meta-analysis and Meta-regression of Long-Term Outcomes of Transcatheter versus Surgical Aortic Valve Replacement for Severe Aortic Stenosis
    Villablanca, Pedro
    Makkiya, Mohammed
    Mathew, Verghese
    Thourani, Vinod
    Rodes-Cabau, Josep
    Bangalore, Sripal
    Vlismas, Peter
    Briceno, David
    Slovut, David
    Taub, Cynthia
    McCarthy, Patrick
    Augoustides, John
    Ramakrishna, Harish
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 68 (18) : B276 - B277
  • [24] Meta-Analysis and Meta-Regression Analysis of Outcomes of Endovascular and Open Repair for Ruptured Abdominal Aortic Aneurysm
    Kontopodis, Nikolaos
    Galanakis, Nikolaos
    Antoniou, Stavros A.
    Tsetis, Dimitrios
    Ioannou, Christos, V
    Veith, Frank J.
    Powell, Janet T.
    Antoniou, George A.
    EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2020, 59 (03) : 399 - 410
  • [25] Response by Mohananey et al to Letter Regarding Article, "Clinical and Echocardiographic Outcomes Following Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement: Meta-Analysis and Meta-Regression"
    Mohananey, Divyanshu
    Jobanputra, Yash
    Kumar, Arnav
    Krishnaswamy, Amar
    Mick, Stephanie
    White, Jonathon M.
    Kapadia, Samir R.
    CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2017, 10 (11)
  • [26] Meta-Analysis and Meta-Regression o f Transcatheter Aortic Valve Implantation for Pure Native Aortic Regurgitation
    Takagi, Hisato
    Hari, Yosuke
    Kawai, Norikazu
    Ando, Tomo
    HEART LUNG AND CIRCULATION, 2020, 29 (05): : 729 - 741
  • [27] CEREBROVASCULAR EVENTS (CVE) POST TRANSCATHETER AORTIC VALVE REPLACEMENT(TAVR): A COMPREHENSIVE META-ANALYSIS AND META-REGRESSION
    Bajaj, Navkaranbir S.
    Gaba, Saurabh
    Aggarwal, Himanshu
    Bhatia, Vikas
    De Puy, Federico
    Mack, Michael
    Holmes, David
    Alli, Oluseun
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2015, 65 (10) : A1726 - A1726
  • [28] Transcatheter Versus Surgical Pulmonary Valve Replacement: A Meta-Regression Analysis
    Karamat, Mubashar
    Siddiqi, Ahsun
    Yadav, Ritu
    Khanal, Resha
    Yashi, Kanica
    Virk, Jaswinder Pal Singh
    Patel, Neel
    Basit, Jawad
    Hamza, Mohammad
    Ali, Shafaqat
    Sattar, Yasar
    Alraies, M. Chadi
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2023, 82 (17) : B138 - B139
  • [29] Transcatheter Tricuspid Valve Replacement for Tricuspid Regurgitation: A Systematic Review and Meta-analysis
    Bugan, Baris
    Cekirdekci, Elif Ijlal
    Onar, Lutfi Cagatay
    Barcin, Cem
    ANATOLIAN JOURNAL OF CARDIOLOGY, 2022, 26 (07): : 505 - +
  • [30] One-Year Mortality in Patients Undergoing Transcatheter Aortic Valve Replacement for Stenotic Bicuspid versus Tricuspid Aortic Valves: A Meta-Analysis and Meta-Regression
    Quintana, Raymundo A.
    Monlezun, Dominique J.
    DaSilva-DeAbreu, Adrian
    Sandhu, Uday G.
    Okwan-Duodu, Derick
    Ramirez, Jonanlis
    Denktas, Ali E.
    Jneid, Hani
    Paniagua, David
    JOURNAL OF INTERVENTIONAL CARDIOLOGY, 2019, 2019