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  • 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.

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