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jڟ)M}7Wj ;X>c=WlG~ե+1RaT :=u9|"t Rk A,xW+0Qƚu 3Z!?^Xc._`),~p:'BtV`8d y;&/o`!/)| &|3N~R0B1 g RO(= {@@A$6 5l0ƛ|QO :؋'D>c}ލz?woB=E=Tw+\!DZ;븡`-z 㟲}yޥO3U3i 3{h.6GAD؋BF ;~vz♨M >/>o%=(=ebIPx|crP;P3؟gz 2_֡F&MKb_&4$ c8d8Vbt'dBr1gCD'NZ'CwO {+{q(AQ_C3;(Ȇ/wu<żO=,I?p=µQ%7$,[^ѶO7 괏b?YOuDJʚ{W#\씙N"OedDtƭ/TZY7f m`!6_6-Wsഈ{@'3#1/vH2$H}i"Ϟ@^ε)w$$N,o9|"7I<v1<Ӗ?Kpb_۟<<60_b7#8 *4F+k߽ or?Ȱ8V#{?7P0GDc|~"'?v9ե@Ԕ*YnVgV^5\ lTVSWo{+S=T]uճ-xe/%^PN V*PfwiO/~;czK fFݚ:fEࠊ%P(`,'0)o*ڧe 'QK Y(MxO^Kfiz%=NdzE-M£*@tEDz$u..PҶN0҆\ UDBODWd LO5v(na;/i~T!=f\}h~Z9t~܏$r[Dnm;Enj}h'gghzžO"wMNf@"fH^i͘VF endstream endobj 32 0 obj <>stream H\͊@>E-ܺȏ,d14=0B>\qɥǾ>]ڮýuppm$]_ߪ!I>۱IQGyƧ{49&鷱 c]˯ե0 MnkׄKK5|nc-\>_g&܇c]CR,v!$t-]I"b~g~G^1w;=d.c^r%YfrΜ#/,Ȟ#+"!o7%` Y%` Y%` Y%` { AЃA [-2#GЏA?BggW]y:{8{:{8{:{8{:{8{:{8{:{8{:{8{:{8+Qd)XJd)XJd)XJd)XJ,Gُe?~(QGُc?~glp6:glp6:VT] * L endstream endobj 33 0 obj <>stream h̗n8`߁#P8Id Ummu8}R%9>l(B97Lh4g$" bڄEL%Kt~覩K#8Ģ0MX:1l" >@x@F~\0Y'~ jp~Ax>cx=%np2e0O<9Ӳ4çwë;|ƣ1w/O 0J}%ཉC1oAMy=  7.|PfWidyi+_G!QuEPM+a*@UT˲UFl8NlJemi*wDXW'xnr[4VFb)XpbY1VU-aHREaӻ6Ug˳U'YB>AZB˵ףeGJ8 ,R[u`u1L KeP~1,@dQ#>Q6  sʐFhdqbw-v?d=&:Ѕ> `NsK \_7 \0C)d0{ȡ3xs Y&~bt=[c\CfX Iߩ%'C!K(f#UbǙM.lMB^2?Rhl>stream 2019-08-14T17:33:38-03:00 2019-08-14T17:30:06-03:00 2019-08-14T17:33:38-03:00 Adobe InDesign CS5 (7.0.4) application/pdf uuid:461a29b1-046b-410b-ba7b-c8b421f97a79 uuid:8a40a710-5417-4b48-971d-507e4292da83 Adobe PDF Library 9.9 endstream endobj 35 0 obj <>stream h25Q0Pw/+Q04L)6)Ic0i &%D"m7(0 T$_ endstream endobj 36 0 obj <>stream h25U0Pw.JM,sI,Ip22040414760050V70Pׄ/pLOJUsI-LSp6U033O4nL@Q~Jir*̜7̤ĢJK=KM;;( endstream endobj 37 0 obj <>/Filter/FlateDecode/ID[<3ACF2790E3068643A732AB708EE0065E>]/Info 55 0 R/Length 164/Root 57 0 R/Size 56/Type/XRef/W[1 3 1]>>stream hbb&F L 3A|ɴH2 ^` XG, DM` " RD2H`q#`v)d:ɜv,X w B.J`  Metanálisis sobre la mortalidad hospitalaria del reemplazo valvular aórtico en pacientes con riesgo bajo e intermedio en Argentina - Archivo PPCT

Metanálisis sobre la mortalidad hospitalaria del reemplazo valvular aórtico en pacientes con riesgo bajo e intermedio en Argentina;
Single-arm Meta-analysis of Argentine Studies Reporting In-hospital Mortality After Aortic Valve Replacement in Low and Intermediate Risk Patients

Creators:Borracci, Raúl, Navia, Daniel O., Kotowicz, Vadim, Machaín, Alejandro, Higa, Claudio C.

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Descripción

Introducción: Actualmente, la cirugía de reemplazo valvular es la primera opción para el tratamiento de la enfermedad aórtica sintomática excepto en pacientes añosos de alto riesgo, en los cuales el implante valvular aórtico transcatéter (TAVI) seríauna mejor alternativa.Objetivos: Considerando que se ha propuesto extender el uso de TAVI a otros grupos de bajo riesgo, el propósito de este estudiofue realizar un metanálisis de estudios de grupo único sobre mortalidad hospitalaria luego de la cirugía de reemplazo valvularaórtico en pacientes de riesgo bajo y moderado en Argentina, como punto de referencia para comparar con los resultadoslocales de TAVI.Métodos: Se realizó una revisión sistemática utilizando estudios observacionales identificados en MEDLINE, Embase, SCOPUS,y la biblioteca Cochrane hasta marzo de 2019.Resultados: De 80 estudios identificados a través de la búsqueda, 4 estudios observacionales consideraron mortalidad hospitalariay complicaciones post-quirúrgicas luego del reemplazo valvular aórtico, divididos en pacientes de riesgo moderado y/obajo de acuerdo al puntaje STS o EuroSCORE II. En 1.192 pacientes, la mortalidad fue de 3.1%. Las estimaciones ponderadasdel conjunto de estudios fueron: accidente cerebrovascular postquirúrgico 1.3%, infarto de miocardio 0.4%, necesidad demarcapasos definitivo 2.7%, mediastinitis 1.4% y reoperación por sangrado 2.6%.Conclusiones: La eficacia de TAVI en pacientes de alto riesgo está produciendo la expansión de esta indicación a casos de menorriesgo, aunque dicho avance debería estar apoyado por evidencia significativa de su beneficio sobre la cirugía de reemplazovalvular. Este metanálisis de estudios de grupo único argentinos presenta la mortalidad hospitalaria y las complicaciones postquirúrgicasluego del reemplazo valvular aórtico en pacientes de riesgo bajo e intermedio. La información actualizada de resultadosde cirugía locales podría servir como punto de referencia para compararla con el desempeño de TAVI en nuestro medio.

Background: Current evidence favors surgical valve replacement to treat symptomatic aortic disease, except in elderly patientsat increased risk for surgery, in whom transcatheter aortic valve implantation (TAVI) may be eligible.Objectives: Considering that the use of TAVI has been proposed to be extended to other groups at lower risk, the purpose ofthis study was to perform a single-arm meta-analysis of local studies reporting in-hospital mortality after surgical aortic valvereplacement in low and intermediate risk patients in Argentina, as a benchmark for comparing with local TAVI outcomes.Methods: A systematic review search strategy was performed using controlled trials and observational studies identified inMEDLINE, Embase, SCOPUS, and the Cochrane library to March 2019.Results: Among 80 studies identified through the search, 4 observational articles reported in-hospital mortality and postoperativecomplications after aortic valve replacement, divided into intermediate and/or low risk patients according to the STSscore or the EuroSCORE II. In 1,192 patients, in-hospital mortality was 3.1%. Weighted pooled estimates were: postoperativestroke1.3%, myocardial infarction 0.4%, need for definite pacemaker 2.7%, mediastinitis 1.4%, and reoperation for bleeding 2.6%.Conclusions: The proven efficacy of TAVI in high-risk patients is leading to the expansion of its indications toward lower-riskcases; but this shift should be supported by meaningful evidence of its benefit over surgical valve replacement. This single-armmeta-analysis of Argentine studies presents in-hospital mortality and postoperative complications after aortic valve replacementin low and intermediate risk patients. The updated information on local results of surgery could serve as a benchmarkfor comparing with TAVI performance in our setting.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 87, No 4 (2019); 280-289, Argentine Journal of Cardiology; Vol 87, No 4 (2019); 280-289

Citación

Borracci, Raúl et al., “Metanálisis sobre la mortalidad hospitalaria del reemplazo valvular aórtico en pacientes con riesgo bajo e intermedio en Argentina,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8876.

Dublin Core

Autor

Borracci, Raúl
Navia, Daniel O.
Kotowicz, Vadim
Machaín, Alejandro
Higa, Claudio C.

Fuente

Revista Argentina de Cardiología; Vol 87, No 4 (2019); 280-289
Argentine Journal of Cardiology; Vol 87, No 4 (2019); 280-289

Editor

Sociedad Argentina de Cardiología

Fecha

2019-08-22

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Idioma

eng
spa

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion