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ArticleInternational urology and nephrology2026

Transcatheter vs surgical aortic valve replacement in young adults with chronic kidney disease: a national inpatient comparison of in-hospital outcomes.

Muhammad Talha Maniya, Eliza Aisha, Abdullah Ahmad, Hira Saleem, Abdul Rafeh Awan, Ibrahim Manzoor, Sameer Lohana, Aqsa Zainab, Rabia Amir, Noor Ul Ain and 5 more

Abstract readComparative Study
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In one paragraph

Article in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Muhammad Talha Maniya *Department of Medicine, Ziauddin University, Karachi, Pakistan. talhamaniya@hotmail.com.
Eliza Aisha *Dow University of Health Sciences, Karachi, Pakistan.
Abdullah AhmadCMH Lahore Medical College, Lahore, Pakistan.
Hira SaleemAllama Iqbal Medical College, Lahore, Pakistan.
Abdul Rafeh AwanNishtar Medical University, Multan, Pakistan.
Ibrahim ManzoorIslamic International Medical College, Riphah International University, Rawalpindi, Pakistan.
Sameer LohanaNuvance Health Vassar Brothers Medical Center, New York, USA.
Aqsa ZainabAllama Iqbal Medical College, Lahore, Pakistan.
Rabia AmirJinnah Sindh Medical University, Karachi, Pakistan.
Noor Ul AinRahbar Medical and Dental College, Lahore, Pakistan.
Laiqa TariqMultan Medical & Dental College, Multan, Pakistan.
Ateeq ZahidMultan Medical & Dental College, Multan, Pakistan.
Ayesha ArifCMH Multan Institute of Medical Sciences, Multan, Pakistan.
Osama AkbarCMH Multan Institute of Medical Sciences, Multan, Pakistan.
Jishanth MattumpuramUniversity of Louisville School of Medicine, Louisville, KY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic Kidney Disease (CKD) is a major global health problem, burdening more than 650 million people worldwide and exposing them to the risk of aortic stenosis (AS). The present study responds to the urgent need to assess the safety and effectiveness of aortic valve replacement (AVR) interventions young adults with CKD, who tend to be excluded from randomized trials.

methodsWe analyzed the in-hospital outcomes of transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) in a young adult population with chronic kidney disease (CKD) using the National Inpatient Sample (NIS) database. This large, publicly available United States inpatient healthcare database allowed cross-sectional analysis of hospital admissions during 2018-2020. The population included patients under the age of 65 with a primary or secondary CKD diagnosis who underwent TAVR or SAVR procedures. Baseline factors and in-hospital outcomes, such as mortality rates, hospital costs, and hospital stay, were compared between the TAVR and SAVR groups using statistical analysis, adjusting for these baseline factors.

resultsThe 11,315 young adults with CKD trial revealed that TAVR was associated with comparable risk of in-hospital death, reduced length of hospital stay, and decreased hospital charges in comparison to SAVR. TAVR was also associated with reduced risk of acute kidney injury, cardiogenic shock, and venous thromboembolism complications.

conclusionsIn conclusion, TAVR presents a favorable alternative to SAVR for young adults with CKD. These findings contribute strong evidence to guide clinical decision-making and improve care for this complex patient population.

Indexed as

Aortic ValveAortic Valve StenosisHeart Valve Prosthesis ImplantationRenal Insufficiency, ChronicTranscatheter Aortic Valve ReplacementAdultCross-Sectional StudiesFemaleHospital MortalityHumansLength of StayMaleMiddle AgedTreatment OutcomeUnited StatesYoung AdultAortic stenosisCKDIn-hospital outcomesMortalitySurgical aortic valve replacement (SAVR)Transcatheter aortic valve replacement (TAVR)Young adults

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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.