PMID- 34258911
OWN - NLM
STAT- MEDLINE
DCOM- 20211028
LR  - 20220531
IS  - 1530-6550 (Print)
IS  - 1530-6550 (Linking)
VI  - 22
IP  - 2
DP  - 2021 Jun 30
TI  - Safety and efficacy of less-invasive ventricular enhancement procedure with the 
      transcatheter Revivent TC(TM) system in patients with left ventricular aneurysm: 
      a systematic review.
PG  - 445-452
LID - 10.31083/j.rcm2202050 [doi]
AB  - Left ventricular (LV) aneurysm following acute myocardial infarction (MI) 
      represents a less common complication, but with worse clinical outcomes. 
      Ventricular surgical reconstruction is not always the intervention of choice due 
      to high surgical risk. There were proposed less invasive LV aneurysm exclusion 
      techniques such as the less invasive ventricular enhancement (LIVE) procedure. 
      Our paper represents the first systematic approach to investigate the efficacy 
      and safety of LIVE procedure using Revivent TC(TM) anchor system for LV aneurysm 
      exclusion. Studies were considered if they reported original data regarding LIVE 
      procedure's efficacy and/or safety using the Revivent TC(TM) system in patients 
      with LV aneurysms. Five studies met the inclusion criteria. The procedure is 
      associated with a reduction in LV volumes and an improvement in LV ejection 
      fraction (LVEF). The means of preoperative LVEF varied between 22.8% and 35.6%, 
      while postoperative LVEF means ranged between 34% and 45.9% (P < 0.005) across 
      studies. All included papers reported a significant difference between 
      preoperative and postoperative LV end-systolic volume index (P </= 0.001) and LV 
      end-diastolic volume index (P </= 0.001). Three out of four studies achieved 
      statistical significance (P </= 0.001) when comparing preoperative (means range: 
      2.6-3.4) and postoperative (means range: 1.4-1.9) New York Heart Association 
      (NYHA) class. One study reported a survival rate of 90.6 (95% CI, 84.6-97.0) at 
      12 months following the procedure. LIVE appears to be a promising and appropriate 
      treatment strategy for a complex condition, which could extend the indication of 
      LV aneurysm exclusion in the future.
CI  - (c) 2021 The Author(s). Published by IMR Press.
FAU - Brinza, Crischentian
AU  - Brinza C
AD  - Department of Internal Medicine, 'Grigore T. Popa' University of Medicine and 
      Pharmacy, 700115 Iasi, Romania.
AD  - Department of Interventional Cardiology - Cardiovascular Diseases Institute, 
      700503 Iasi, Romania.
FAU - Cinteza, Mircea
AU  - Cinteza M
AD  - Department of Internal Medicine, 'Carol Davila' University of Medicine and 
      Pharmacy, 050474 Bucharest, Romania.
FAU - Popa, Iolanda V
AU  - Popa IV
AD  - Department of Internal Medicine, 'Grigore T. Popa' University of Medicine and 
      Pharmacy, 700115 Iasi, Romania.
FAU - Burlacu, Alexandru
AU  - Burlacu A
AD  - Department of Internal Medicine, 'Grigore T. Popa' University of Medicine and 
      Pharmacy, 700115 Iasi, Romania.
AD  - Department of Interventional Cardiology - Cardiovascular Diseases Institute, 
      700503 Iasi, Romania.
AD  - Research Department, Academy of Medical Sciences, 030167 Bucharest, Romania.
LA  - eng
PT  - Systematic Review
PL  - Singapore
TA  - Rev Cardiovasc Med
JT  - Reviews in cardiovascular medicine
JID - 100960007
SB  - IM
MH  - *Cardiac Surgical Procedures
MH  - *Heart Aneurysm/diagnostic imaging/etiology/surgery
MH  - Heart Ventricles/diagnostic imaging/surgery
MH  - Humans
MH  - Stroke Volume
MH  - *Ventricular Dysfunction, Left/diagnostic imaging/etiology
MH  - Ventricular Function, Left
OTO - NOTNLM
OT  - Efficacy
OT  - Left ventricular aneurysm
OT  - Revivent
OT  - Safety
OT  - Systematic review
OT  - Ventricular enhancement procedure
COIS- The authors declare no conflict of interest.
EDAT- 2021/07/15 06:00
MHDA- 2021/10/29 06:00
CRDT- 2021/07/14 07:28
PHST- 2021/04/16 00:00 [received]
PHST- 2021/06/02 00:00 [revised]
PHST- 2021/06/03 00:00 [accepted]
PHST- 2021/07/14 07:28 [entrez]
PHST- 2021/07/15 06:00 [pubmed]
PHST- 2021/10/29 06:00 [medline]
AID - 1625013563350-648883259 [pii]
AID - 10.31083/j.rcm2202050 [doi]
PST - ppublish
SO  - Rev Cardiovasc Med. 2021 Jun 30;22(2):445-452. doi: 10.31083/j.rcm2202050.