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Urgent surgery compared with fibrinolytic therapy for the treatment of left-sided prosthetic heart valve thrombosis: a systematic review and meta-analysis of observational studies
Author(s) -
Ganesan Karthikeyan,
Nagendra Boopathy Senguttuvan,
Jo Joseph,
Niveditha Devasenapathy,
Vinay K. Bahl,
Balram Airan
Publication year - 2013
Publication title -
european heart journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.336
H-Index - 293
eISSN - 1522-9645
pISSN - 0195-668X
DOI - 10.1093/eurheartj/ehs486
Subject(s) - medicine , observational study , meta analysis , thrombosis , fibrinolytic therapy , heart valve , cardiology , surgery , fibrinolysis
Left-sided prosthetic valve thrombosis (PVT) occurs frequently in developing countries and causes major morbidity and mortality. Fibrinolytic therapy (FT) is most commonly used as treatment, but increases the risk of stroke and bleeding. Urgent surgery may be more efficacious and cause fewer complications. Our aim was to compare the efficacy and safety of urgent surgery and FT for the treatment of left-sided PVT.

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