Table 1.
First author | Valve type | Bauer 2014 | Costopoulos 2014 | Kochman 2014 | Sannino 2017 | Yoon 2017 | Relative risk (95%CI; p value) |
---|---|---|---|---|---|---|---|
# of patients | BAV | 38 | 21 | 28 | 88 | 546 | NA |
TAV | 1357 | 447 | 84 | 735 | 546 | ||
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Devices | BAV | CV, Sapien | CV, Sapien | CV, Sapien | SXT, S3, CV, ER, Lotus | SXT, S3, CV, ER, Lotus | NA |
TAV | CV, Sapien | CV, Sapien | CV, Sapien | SXT, S3, CV, ER, Lotus | SXT, S3, CV, ER, Lotus | ||
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Approaches | BAV | TA, TAo, TF | TF, TA, TAx | TF, TA, TAo, TS | TF, TA, TAo, TS | TF | NA |
TAV | TA, TAo, TF, TAx | TF, TA, TAo, TAx | TF, TA, TAo, TS | TF, TA, TAo, TS | TF | ||
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STS Score, % | BAV | - | 7.6 ± 4.2 | - | 7.4 ± 3.9 | 4.6 ± 4.6 | 0.04 (-0.06, 0.15; p=0.393)∗ |
TAV | - | 7.8 ± 7.3 | - | 7.6 ± 3.9 | 4.3 ± 3.0 | ||
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EuroScore, % | BAV | 18 ± 10 | 23.9 ± 12.0 | 19.2 ± 9.0 | - | 16.1 ± 12.0 | -0.07 (-0.17, 0.04; p=0.222)∗ |
TAV | 20 ± 13 | 24.4 ± 17.3 | 18.8 ± 8.7 | - | 16.9 ± 13.9 | ||
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Mean age in years | BAV | 80.7 ± 6.6 | 76.7 ± 7.1 | 77.6 ± 5.5 | 80.2 ± 8.4 | 77.2 ± 8.2 | -0.09 (-0.21, 0.03; p=0.156)∗ |
TAV | 81.8 ± 6.2 | 79.8 ± 7.4 | 79.1 ± 6.8 | 81.8 ± 7.9 | 77.2 ± 8.8 | ||
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Females | BAV | 55.3 | 42.9 | 53.6 | 39.8 | 37.2 | 0.92 (0.82, 1.03; p=0.144) |
TAV | 58.0 | 52.6 | 57.1 | 47.1 | 39.4 | ||
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Mean aortic gradient | BAV | - | 54.4 ± 17.9 | 55.5 ± 17.6 | 46.9 ± 16.9 | 49.7 ± 17.7 | 0.10 (0.00, 0.20; p=0.048)∗ |
TAV | - | 52.5 ± 16.0 | 52.5 ± 18.9 | 44.3 ± 13.6 | 48.5 ± 17.1 | ||
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Mean LVEF | BAV | 50 ± 16 | 50.1 ± 12.4 | 48.1 ± 13.1 | - | 51.6 ± 15.0 | -0.04 (-0.14, 0.07; p=0.489)∗ |
TAV | 53 ± 15 | 52.0 ± 12.6 | 49.8 ± 14.0 | - | 51.6 ± 15.2 | ||
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NYHA III/IV | BAV | 84.2 | 71.4 | 71.4 | - | - | 0.96 (0.86, 1.07; p=0.438) |
TAV | 89.0 | 67.3 | 78.6 | - | - | ||
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HTN | BAV | - | 66.7 | 60.7 | 80.7 | 70.0 | 0.98 (0.92, 1.04; p=0.457) |
TAV | - | 77.2 | 65.5 | 83.3 | 70.5 | ||
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DM | BAV | 36.8 | 28.6 | 39.3 | 33.0 | 23.4 | 1.20 (0.80, 1.79, p=0.372) |
TAV | 34.0 | 30.2 | 34.5 | 38.5 | 23.3 | ||
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COPD | BAV | 21.1 | 33.3 | 21.4 | 17.0 | - | 1.00 (0.74, 1.36; p=0.979) |
TAV | 24.0 | 30.6 | 20.2 | 20.3 | - | ||
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CAD | BAV | 68.4 | - | 50.0 | 69.3 | - | 1.04 (0.89, 1.21; p=0.631) |
TAV | 60.0 | - | 64.3 | 66.3 | - | ||
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PAD | BAV | 10.5 | 33.3 | 21.4 | 39.8 | 15.2 | 0.99 (0.73, 1.33; p=0.929) |
TAV | 22.0 | 29.8 | 34.5 | 29.8 | 15.6 | ||
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Prior PCI | BAV | 34.2 | 28.6 | 21.4 | - | 22.2 | 0.95 (0.79, 1.14; p=0.569) |
TAV | 35.0 | 21.5 | 35.7 | - | 23.4 | ||
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CKD (GFR <60 ml/min) | BAV | 22 | 11 | 12 | 45 | - | 1.03 (0.89, 1.20; p=0.665) |
TAV | 828 | 257 | 36 | 330 | - | ||
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Prior CABG | BAV | 13.2 | 14.3 | 14.3 | - | 11.4 | 0.85 (0.65, 1.13; p=0.258) |
TAV | 18.0 | 19.9 | 25.0 | - | 12.3 | ||
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Previous cerebrovascular accident | BAV | 13.2 | 19.0 | 28.6 | 19.3 | 14.1 | 1.18 (0.95, 1.48; p=0.137) |
TAV | 8.0 | 16.1 | 16.7 | 18.0 | 12.6 |
∗ = Standardized Mean Difference (SMD).
P value for test of SDM = 0 or relative risk = 1 as appropriate.
BAV = Bicuspid aortic valve; CABG = Coronary artery bypass graft; CAD = Coronary artery disease; CKD = Chronic kidney disease; COPD = Chronic obstructive pulmonary disease; CV = Core Valve; DM = Diabetes mellitus; ER = CoreValve Evolut R; EuroScore = European System for Cardiac Operative Risk Evaluation; GFR = Glomerular filtration rate; HTN = Hypertension; LVEF = Left ventricular ejection fraction; NYHA = New York Heart Association; PAD = Peripheral artery disease; PCI = Percutaneous coronary intervention; S3 = Sapien S3; STS = Society of Thoracic Surgeons; S = Sapien; SXT = Sapien XT; TA = Transapical; TAo = Transaortic; TAV = Tricuspid aortic valve; TAx = Transaxillary; TF = Transfemoral; TS = Transubclavian.