Evidence map›Paper›PMID 36675469›Full record

ReviewJournal of clinical medicine2023

Redo Surgical Aortic Valve Replacement versus Valve-In-Valve Transcatheter Aortic Valve Implantation: A Systematic Review and Reconstructed Time-To-Event Meta-Analysis.

Francesco Formica, Alan Gallingani, Domenico Tuttolomondo, Daniel Hernandez-Vaquero, Stefano D'Alessandro, Claudia Pattuzzi, Mevlüt Çelik, Gurmeet Singh, Evelina Ceccato, Giampaolo Niccoli and 2 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Redo aortic valve replacement with the Perceval valve: the ideal stepping stone in the lifetime management of aortic stenosis?Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2025
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Late consequences of masked bioprosthetic valve endocarditis: diagnostic and treatment options.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Francesco FormicaDepartment of Medicine and Surgery, University of Parma, 43124 Parma, Italy.ORCID 0000-0003-3989-6134
Alan GallinganiCardiac Surgery Clinic, University Hospital of Parma, Via Gramsci 14, 43125 Parma, Italy.ORCID 0000-0001-5079-9330
Domenico TuttolomondoCardiology Unit, University Hospital of Parma, Via Gramsci 14, 43125 Parma, Italy.ORCID 0000-0002-1291-0306
Daniel Hernandez-VaqueroCardiac Surgery Department, Hospital Universitario Central de Asturias, 33004 Oviedo, Spain.ORCID 0000-0003-3518-6629
Stefano D'AlessandroCardiac Surgery Unit, San Giovanni Bosco Hospital, 10144 Turin, Italy.
Claudia PattuzziDepartment of Medicine and Surgery, University of Parma, 43124 Parma, Italy.
Mevlüt ÇelikDepartment of Cardiothoracic Surgery, Erasmus University Medical Center, 3062 Rotterdam, The Netherlands.
Gurmeet SinghDivision of Cardiac Surgery, Department of Critical Care Medicine, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, AB 11220, Canada.
Evelina CeccatoDepartment of Medicine and Surgery, University of Parma, 43124 Parma, Italy.ORCID 0000-0001-8031-3418
Giampaolo NiccoliDepartment of Medicine and Surgery, University of Parma, 43124 Parma, Italy.
Roberto LorussoCardiovascular Research Institute Maastricht (CARIM), 6200 Maastricht, The Netherlands.ORCID 0000-0002-1777-2045
Francesco NicoliniDepartment of Medicine and Surgery, University of Parma, 43124 Parma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. Valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) has emerged as a useful alternative intervention to redo-surgical aortic valve replacement (Redo-SVAR) for the treatment of degenerated bioprosthesis valve. However, there is no robust evidence about the long-term outcome of both treatments. The aim of this meta-analysis was to analyze the long-term outcomes of Redo-SVAR versus ViV-TAVI by reconstructing the time-to-event data. Methods. The search strategy consisted of a comprehensive review of relevant studies published between 1 January 2000 and 30 September 2022 in three electronic databases, PubMed, Cochrane Central Register of Controlled Trials (CENTRAL) and EMBASE. Relevant studies were retrieved for the analysis. The primary endpoint was the long-term mortality for all death. The comparisons were made by the Cox regression model and by landmark analysis and a fully parametric model. A random-effect method was applied to perform the meta-analysis. Results. Twelve studies fulfilled the eligibility criteria and were included in the final analysis. A total of 3547 patients were included. Redo-SAVR group included 1783 patients, and ViV-TAVI included 1764 subjects. Redo-SAVR showed a higher incidence of all-cause mortality within 30-days [Hazard ratio (HR) 2.12; 95% CI = 1.49−3.03; p < 0.0001)], whereas no difference was observed between 30 days and 1 year (HR = 1.03; 95% CI = 0.78−1.33; p = 0.92). From one year, Redo-SAVR showed a longer benefit (HR = 0.52; 95% CI = 0.40−0.67; p < 0.0001). These results were confirmed for cardiovascular death (HR = 2.04; 95% CI = 1.29−3.22; p = 0.001 within one month from intervention; HR = 0.35; 95% CI = 0.18−0.71; p = 0.003 at 4-years follow-up). Conclusions. Although the long-term outcomes seem similar between Redo-SAVR and ViV-TAVI at a five-year follow-up, ViV-TAVI shows significative lower mortality within 30 days. This advantage disappeared between 30 days and 1 year and reversed in favor of redo-SAVR 1 year after the intervention.

Indexed as

biological prosthesis valve degenerationlong-term outcomemeta-analysisredo surgical aortic valve replacementvalve-in-valve transcatheter aortic valve implantation

Identifiers

PMID36675469
PMCPMC9866823

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.