2012
DOI: 10.1093/eurheartj/ehs003
|View full text |Cite
|
Sign up to set email alerts
|

The impact of prosthesis–patient mismatch on long-term survival after aortic valve replacement: a systematic review and meta-analysis of 34 observational studies comprising 27 186 patients with 133 141 patient-years

Abstract: Prosthesis-patient mismatch is associated with an increase in all-cause and cardiac-related mortality over long-term follow-up. We recommend that current efforts to prevent PPM should receive more emphasis and a widespread acceptance to improve long-term survival after AVR.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

11
301
8
6

Year Published

2014
2014
2024
2024

Publication Types

Select...
10

Relationship

1
9

Authors

Journals

citations
Cited by 436 publications
(326 citation statements)
references
References 59 publications
11
301
8
6
Order By: Relevance
“…6 It has been suggested that PPM has a significant effect on short-term and long-term outcomes. [7][8][9] Because the NOTION trial showed that the incidence of PPM was lower after TAVR than after surgical AVR at the mid-term follow-up, the hemodynamic performance of TAVR is not inferior compared with surgical AVR. 10 Therefore, avoiding PPM by choosing an appropriate bioprosthesis is crucial for surgical AVR.…”
Section: Patients' Characteristicsmentioning
confidence: 99%
“…6 It has been suggested that PPM has a significant effect on short-term and long-term outcomes. [7][8][9] Because the NOTION trial showed that the incidence of PPM was lower after TAVR than after surgical AVR at the mid-term follow-up, the hemodynamic performance of TAVR is not inferior compared with surgical AVR. 10 Therefore, avoiding PPM by choosing an appropriate bioprosthesis is crucial for surgical AVR.…”
Section: Patients' Characteristicsmentioning
confidence: 99%
“…Our incidence of mismatch is lower than that quoted in other series using the same criteria. 16,17 For size 19 valves, mismatch impacted negatively on long-term survival, with mortality increasing by 12.7% when compared with the other sizes, suggesting that valve size was a more important predictor than valve type or model. Mismatch in larger sizes had no significant impact on long-term survival.…”
Section: Discussion Findings and Data Interpretationmentioning
confidence: 99%
“…[26] This analysis included a number of studies that failed to demonstrate a significant effect of PPM, amongst which were one study [27] with a longer mean follow-up (9.1 vs. 7.8 years) and a second [28] with a comparable follow-up (median of 7.3 vs. 7.3 years) to our study. Both these studies failed to show a significant effect on survival, raising the possibility that a longer follow-up may be salient.…”
Section: Discussionmentioning
confidence: 99%