Emerging hybrid techniques in aortic valve interventions: A systematic review of integrating surgical and transcatheter approaches
Abstract
Objective: This systematic review examines the development and clinical application of hybrid aortic valve interventions that integrate surgical and transcatheter techniques. It focuses on the efficacy, outcomes, and innovations of these procedures, particularly for patients at moderate-to-high surgical risk.
Methods: A comprehensive database search (PubMed, Ovid, Web of Science, Cochrane, CINAHL, Embase, Scopus) was conducted from August 20 to October 10, 2024. Studies on aortic valve interventions combining surgical and transcatheter approaches were included, encompassing case studies, series, cohort studies, and reviews. Non-English articles, gray literature, cadaveric, and animal studies were excluded. Screening followed Preferred Reporting Items for Systematic Review and Meta-Analysis 2023 guidelines, with two rounds performed. Formal quality assessment was omitted due to study heterogeneity.
Results: Out of 2046 initial articles, 495 unique studies remained after duplicate removal, and 65 articles were selected for analysis. Hybrid aortic valve procedures, blending surgical techniques with transcatheter aortic valve implantation, demonstrated improved outcomes, including shorter recovery times, reduced complications, and
personalized treatment options for moderate-risk patients.
Conclusion: Hybrid aortic valve interventions mark a significant advancement, enhancing patient-specific care and outcomes. Continued innovation in materials, techniques, and clinician training is crucial to improve durability, long-term outcomes, and broader adoption of these minimally invasive procedures. Future research should address these areas to further optimize cardiovascular care.
Keywords:
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).