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Comments on "Systematic Review and Meta-Analysis of Comparative Studies: Transcatheter Versus Surgical Closure for Postinfarct Ventricular Septal Defect"
Abstract
I am impressed by the meta-analysis conducted by Yamaguchi et al. which compares transcatheter with surgical closure of postinfarct ventricular septal defect (PIVSD). This is a promising investigation of the key role of minimally invasive interventions against conventional surgery, which is the topic of the investigation. The authors could not find any short-term mortality differences, but they noticed a higher residual shunt/reintervention rate in the transcatheter group. Contrary to that, their analysis also uncovers significant draws that need to be examined further.

