Failures of the Fontan System in Univentricular Hearts and Mortality Risk in Heart Transplantation: A Systematic Review and Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategy and Data Sources
2.2. Eligibility Criteria
2.3. Data Extraction
2.4. Variables
2.5. Bias Control
2.6. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Author, Year | Country | Design | Overall Results | Outcomes | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Transplantation | Fontan Population | Death | PLE | Arrythmia | HF | PB | CKD | |||
Backer, 2013 [6] | USA | A retrospective study | 206 | 22 | 8 | 5/13 (18%) | N/A | 6/13 (46%) | 0/2 (0%) | N/A |
Bernstein, 2006 [68] | USA | A retrospective, multi-institutional study | 1746 | 70 | 23 | 10/25 (40%) | N/A | N/A | N/A | N/A |
Carey, 1998 [69] | UK | A retrospective review study in a single center, case series | 46 | 9 | 3 | N/A | 2/6 (33%) | 2/5 (40%) | N/A | 1/2 (50%) |
Chaudhar, 2005 [56] | UK | A retrospective review, a case series. | 110 | 6 | 1 | N/A | 1/2 (50%) | N/A | N/A | N/A |
Davies, 2012 [12] | USA | A retrospective review study | 172 | 43 | 20 | 9/17 (53%) | N/A | 9/18 (50%) | 0/1 (0%) | N/A |
Gamba, 2004 [57] | Italy | A retrospective review | 575 | 13 | 4 | 2/7 (29%) | 2/5 (40%) | 4/9 (44%) | N/A | N/A |
Iyengar, 2014 [74] | Australia | A retrospective study in a single center | 111 | 10 | 3 | 0/1 (0%) | N/A | 3/8 (38%) | NA | NA |
Kanter, 2011 [77] | USA | A retrospective study in a Single center. | 222 | 27 | 12 | 2/12 (17%) | N/A | 4/21 (19%) | N/A | N/A |
Kanter, 2016 [59] | USA | A retrospective study in a Single center. | 311 | 33 | 15 | 2/13 (15%) | N/A | N/A | N/A | N/A |
Lin, 2016 [60] | Taiwan | A retrospective study in a Single center, cases series. | 513 | 4 | 1 | 1/3 (33%) | N/A | 0/3 (0%) | N/A | N/A |
Michielon, 2003 [83] | Italy | A Cohort study | 25 | 6 | 8 | 1/2 (50%) | N/A | N/A | N/A | N/A |
Michielon, 2015 [15] | Netherlands | A retrospective multicenter review. | 61 | 61 | 18 | 11/14 (79%) | N/A | 14/28 (50%) | N/A | N/A |
Mitchell, 2004 [58] | USA | A retrospective study in a single center. | 15 | 15 | 1 | 1/4 (25%) | 1/4 (25%) | 2/13 (15%) | N/A | N/A |
Pundi, 2016 [11] | USA | A retrospective review, cohort study in a single center. | 44 | 44 | 16 | 5/12 (42%) | 6/28 (21%) | N/A | N/A | N/A |
Schumacher, 2015 [7] | USA | A retrospective cohort study | 3686 | 356 | 62 | 22/70 (31%) | N/A | N/A | N/A | N/A |
Seddio, 2013 [96] | Italy | A retrospective cohort study | 839 | 22 | 15 | 6/11 (55%) | N/A | N/A | N/A | N/A |
Simpson, 2012 [9] | USA | A retrospective review study | 34 | 34 | 11 | 5/12 (42%) | N/A | 7/17 (41%) | N/A | N/A |
Stephens, 2020 [63] | USA | A retrospective cohort study | 153 | 32 | 5 | N/A | N/A | N/A | N/A | 2/3 (67%) |
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Márquez-González, H.; Hernández-Vásquez, J.G.; Del Valle-Lom, M.; Yáñez-Gutiérrez, L.; Klünder-Klünder, M.; Almeida-Gutiérrez, E.; Koretzky, S.G. Failures of the Fontan System in Univentricular Hearts and Mortality Risk in Heart Transplantation: A Systematic Review and Meta-Analysis. Life 2021, 11, 1363. https://doi.org/10.3390/life11121363
Márquez-González H, Hernández-Vásquez JG, Del Valle-Lom M, Yáñez-Gutiérrez L, Klünder-Klünder M, Almeida-Gutiérrez E, Koretzky SG. Failures of the Fontan System in Univentricular Hearts and Mortality Risk in Heart Transplantation: A Systematic Review and Meta-Analysis. Life. 2021; 11(12):1363. https://doi.org/10.3390/life11121363
Chicago/Turabian StyleMárquez-González, Horacio, Jose Gustavo Hernández-Vásquez, Montserrat Del Valle-Lom, Lucelli Yáñez-Gutiérrez, Miguel Klünder-Klünder, Eduardo Almeida-Gutiérrez, and Solange Gabriela Koretzky. 2021. "Failures of the Fontan System in Univentricular Hearts and Mortality Risk in Heart Transplantation: A Systematic Review and Meta-Analysis" Life 11, no. 12: 1363. https://doi.org/10.3390/life11121363