Valvular & structural heart diseaseMeta-analysis

Early and late transcatheter aortic valve implantation outcomes in aortic stenosis with transthyretin cardiac amyloidosis: a systematic review

Eur J Heart FailPublished

  • Systematic review of observational studies

Study context

Population
Elderly patients with severe aortic stenosis (AS) referred to transcatheter aortic valve implantation (TAVI)11 observational studies
Participants
1,637 vs 644,107
Comparison
TAVI outcomes in AS+ATTR-CA vs isolated AS
  • AS+ATTR-CAn = 1,637
  • Isolated ASn = 644,107reference

Pooled result

As reported in the abstract

30-day mortality, stroke, major bleeding, AKI, permanent pacemaker implantation, HF readmission and late all-cause mortality after TAVI
  • 30-day mortality low and similar between groups
  • No consistent differences in stroke or major bleeding
  • AKI and permanent pacemaker implantation more frequent in AS+ATTR-CA
  • Higher HF readmissions and late all-cause mortality in AS+ATTR-CA during follow-up

Safety

AKI and permanent pacemaker implantation

More frequent in AS+ATTR-CA

Original publication

Early and late transcatheter aortic valve implantation outcomes in aortic stenosis with transthyretin cardiac amyloidosis: a systematic review. Eur J Heart Fail. Published 3 September 2026. doi:10.1093/ejhf/xuag285

Summarised from the published abstract; every number is checked against it