Effect of TAVR Approach and Other Baseline Factors on the Incidence of Acute Kidney Injury: A Systematic Review and Meta-Analysis

Autor: Hossam Alzu’bi, Anan Abu Rmilah, Ikram-UI Haq, Babikir Kheiri, Ahmad Al-abdouh, Bashar Hasan, Omar Elsekaily, Suhaib Jaber, Ibraheem Qaisi, Asil Yagmour, Hamada Dajani, Azza Ahmed, null Ahmed elhag, Kianoush Kashani, Abhishek Deshmukh
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Interventional Cardiology, Vol 2022 (2022)
Druh dokumentu: article
ISSN: 1540-8183
DOI: 10.1155/2022/3380605
Popis: Background. Acute kidney injury (AKI) is a well-known complication following a transcatheter aortic valve replacement (TAVR) and is associated with higher morbidity and mortality. Objective. We aim to compare the risk of developing AKI after transfemoral (TF), transapical (TA), and transaortic (TAo) approaches following TAVR. Methods. We searched Medline and EMBASE databases from January 2009 to January 2021. We included studies that evaluated the risk of AKI based on different TAVR approaches. After extracting each study’s data, we calculated the risk ratio and 95% confidence intervals using RevMan software 5.4. Publication bias was assessed by the forest plot. Results. Thirty-six (36) studies, consisting of 70,406 patients undergoing TAVR were included. Thirty-five studies compared TF to TA, and only seven investigations compared TF to TAo. AKI was documented in 4,857 out of 50,395 (9.6%) patients that underwent TF TAVR compared to 3,155 out of 19,721 (16%) patients who underwent TA-TAVR, with a risk ratio of 0.49 (95% CI, 0.36–0.66; p
Databáze: Directory of Open Access Journals
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