Page 57 - Read Online
P. 57

Page 6 of 19                                                                                   Masiero et al. Mini-invasive Surg 2022;6:4   https://dx.doi.org/10.20517/2574-1225.2021.104



                          Table 1. Main characteristics and results of studies comparing TAVI outcomes in women and men

                                                                                          Balloon-
                          Study/first author     Design        Overall          %         expanding valves    Self-expanding     Follow-up Main results
                          (Ref.)                               population (n) women                           valves (%)
                                                                                          (%)
                                           [85]
                          FRANCE 2 Registry      Prospective   3972             49.5      73.2                26.8               1 year      Similar rate of mortality at 1 month (9.5% vs. 9.2%) and lower rate at 1-year than
                                                 observational                                                                               men (19.3% vs. 23.7%)
                                    [86]
                          Kodali et al.          Analysis of   2559             47.6      100                 0                  1 year      Higher rate of vascular complications (17.3% vs. 10%) and bleeding (10.5% vs.
                                                 RCT                                                                                         7.7%) in women than men; similar 30-day mortality and lower 1-year mortality
                                                                                                                                             (19% vs. 25.9%)
                                     [50]
                          Szerlip et al.         Analysis of   1661             39.5      100                 0                  1 year      No difference in mortality at 30 days (2% vs. 1.2%) and 1-year (9.3% vs. 10.2%).
                                                 RCT                                                                                         Higher rates of major vascular complications in women (7.9% vs. 4.4%)
                                      [87]
                          Sannino et al.         Retrospective  910             46.5      57.7                42.3               1 year      Higher rates of major vascular complications (7.8% vs. 4.1%) and bleeding (4% vs.
                                                 observational                                                                               1.6%) in women. Lower rates of mortality at 1-year (7% vs. 12.7%)
                                    [88]
                          Doshi et al.           Retrospective  41,050          47.7      NA                  NA                 In-hospital  Higher rates of mortality (4.7% vs. 3.9%) in women
                                                 observational
                                    [89]
                          Stehli et al.          Prospective   683              58        10.4                89.6               1 year      Higher rates of major bleeding (3.3% vs. 1%) and 30-day mortality (2.4% vs.
                                                 observational                                                                               0.3%) in women. Similar rates of 1-year mortality (8.3% vs. 7.8%)
                                       [38]
                          FRAILTY-AVR            Prospective   759              44.8      NA                  NA                 1 year      Higher rates of 30-day mortality and major vascular complications in women.
                                                 observational                                                                               Similar rates of 1-year mortality (19% vs. 17%).
                                      [90]
                          TVT Registry           Prospective   23,652           49.9      88.5                11.5               1 year      Higher rates of vascular complications (8.3% vs. 4.4%) and bleeding (8% vs.
                                                 observational                                                                               5.9%) in women. Lower rates of 1-year mortality (21.3% vs. 24.5%)
                                     [91]
                          Forrest et al.         Analysis of   3687             46.3      0                   100                1 year      Higher rates of vascular complications (9.7% vs. 4.9%) and bleeding (29.7% vs.
                                                 RCT                                                                                         21.7%) in women. Similar rates of 30-day (5.9% vs. 5.8%) and 1-year mortality
                                                                                                                                             (21.3% vs. 24.1%)
                                        [92]
                          D’Ascenzo et al.       Retrospective  377             57.2      NA                  NA                 2 years     Higher rates of bleeding (44% vs. 25%) and major vascular complications (12.9%
                                                 observational                                                                               vs. 9.8%). Similar rates of death at 30-day at longest follow-up
                          Italian Multicenter    Prospective   659              55.8      0                   100                13 months   No significant differences in peri-procedural event rates and mortality
                                           [93]
                          CoreValve registry     Observational
                                         [94]
                          Humphries et al.       Analysis of   641              51.3      100                 0                  2 years     Higher rates of bleeding (21.6% vs. 15.8%) and major vascular complications
                                                 RCT                                                                                         (12.4% vs. 5.4%). Lower rates of 30-day (6.5% vs. 11.2%) and 2-year mortality
                                                                                                                                             (27.9% vs. 38.3%)
                                        [95]
                          Czarnecki et al.       Retrospective  999             45.3      57.1                38                 1 year      Higher rates of bleeding (14.5% vs. 12.6%) and major vascular complications
                                                 observational                                                                               (18.7% vs. 16.7%). Similar rates of 30-day and 1-mortality
                                   [81]
                          Katz et al.            Prospective   819              51        67.7                28.9               1 year      Higher rates of bleeding (11% vs. 3.8%), major vascular complications (11.2% vs.
                                                 observational                                                                               5.5%), and mortality at 30 days (11.5% vs. 6.5%). Similar rates of 1-year mortality
                                                                                                                                             (29.7% vs. 25.9%)

                          TAVI: Transcatheter aortic valve implantation; RCT: randomized control trial.
   52   53   54   55   56   57   58   59   60   61   62