Irbaz Hameed, Christian T Oakley, N U Farrukh Hameed, Adham Ahmed, Nyla Naeem, Saket Singh, Kaniz Rizwana, Alexandria Brackett, John K Forrest, Ryan Kaple, Abeel Mangi, Arash Salemi, Arnar Geirsson, Mario Gaudino, Prashanth Vallabhajosyula
BACKGROUND: When transfemoral (TF) access is contraindicated in patients undergoing transcatheter aortic valve replacement (TAVR), alternate access strategies are considered. The choice of one alternate access over the other remains controversial. METHODS: Following a comprehensive literature search, studies comparing any combination of TF, transapical (TA), transaortic (TAo), transcarotid (TC), and trans-subclavian (TS) TAVR were identified. Data were pooled using fixed- and random-effects network meta-analysis...
November 2021: Journal of Cardiac Surgery