Page 58 - Read Online
P. 58

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.
   53   54   55   56   57   58   59   60   61   62   63