Does the clinical effectiveness of Mitraclip compare with surgical repair for mitral regurgitation?
| العنوان: | Does the clinical effectiveness of Mitraclip compare with surgical repair for mitral regurgitation? |
|---|---|
| المؤلفون: | Marco Moscarelli, Mohammad Yousuf Salmasi, Oscar W Lu, Ashiq Abdul Khader, Thanos Athanasiou, George Lazopoulos, Simon Kendall, Mohammed Allaf |
| المصدر: | Journal of Cardiac Surgery. 36:1103-1119 |
| بيانات النشر: | Hindawi Limited, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, medicine.medical_specialty, Mitral Valve Annuloplasty, Cardiac & Cardiovascular Systems, medicine.medical_treatment, 030204 cardiovascular system & hematology, THERAPY, RECOMMENDATIONS, law.invention, mitral valve repair, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Mitral valve, Humans, Medicine, METAANALYSIS, Retrospective Studies, Heart Valve Prosthesis Implantation, Surgical repair, Mitral regurgitation, Mitral valve repair, Science & Technology, business.industry, MORTALITY, MitraClip, Mitral Valve Insufficiency, 1103 Clinical Sciences, Retrospective cohort study, Odds ratio, Surgery, PERCUTANEOUS REPAIR, Treatment Outcome, medicine.anatomical_structure, Cardiovascular System & Hematology, 030228 respiratory system, VALVE REPAIR, Cardiovascular System & Cardiology, SURVIVAL, Mitral Valve, TRIAL, mitral regurgitation, mitraclip, Cardiology and Cardiovascular Medicine, business, Life Sciences & Biomedicine, TO-EDGE REPAIR |
| الوصف: | Background: Surgical repair of the mitral valve has long been the established therapy for degenerative mitral regurgitation (MR). Newer transcatheter methods over the last decade, such as the MitraClip, serve to restore mitral function with reduced procedural burden and enhanced recovery. This study aims to compare the shortterm and midterm outcomes of MitraClip insertion with surgical repair for MR. Methods: A systematic review of the literature was conducted for studies comparing outcomes between surgical repair and MitraClip. The initial search returned 1850 titles, from which 12 studies satisfied the inclusion criteria (one randomized controlled trial and 11 retrospective studies). Results: The final analysis comprised 4219 patients (MitraClip 1210; surgery 3009). Operative mortality was not different between the groups (odds ratio [OR] = 1.63, 95% confidence interval [CI]: [0.63−4.23]; p = .317). Length of hospital stay was significantly shorter in the MitraClip group (standardized mean difference [SMD] = 0.882, 95% CI: [0.77–0.99]; p 90%; p |
| تدمد: | 1540-8191 0886-0440 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f584f506aac1930db9f40e01f1c82489 https://doi.org/10.1111/jocs.15298 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f584f506aac1930db9f40e01f1c82489 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15408191 08860440 |
|---|