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This meta-analysis attempts to determine whether the prevalence of adverse outcomes (procedure-related complications) represent barriers to the use of TAVR among African Americans (AA). The TAVR cohort consisted of 89.6% Caucasian (C) and 4.7% AA, while the SAVR cohort included 86.9% C and 6.4% AA. The utilization rate (UR) of TAVR was 1.48 and .35 among C and AA, respectively, while the UR of SAVR was 1.44 and .48 among C and AA, respectively. Following TAVR, for AA the odds ratio (OR) was greater for stroke (OR = 1.22, P = .02) and transient ischemic attack (TIA) (OR = 1.57, P &lt; .001) and lower for undergoing the insertion of a permanent pacemaker (OR = .81, P &lt; .001). While there was a significant difference between C and AA in TAVR and SAVR utilization, outcomes between groups following TAVR are comparable; therefore, adverse outcomes do not appear to be a barrier to the use of TAVR among eligible AA.<\/jats:p>","DOI":"10.1177\/00033197221137025","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T07:25:11Z","timestamp":1669361111000},"page":"812-821","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Racial Disparity Among Patients Undergoing Surgical Aortic Valve Replacement and Transcatheter Aortic Valve Replacement in the United States"],"prefix":"10.1177","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2365-6582","authenticated-orcid":false,"given":"Abha","family":"Kulkarni","sequence":"first","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammod","family":"Arafat","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linle","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiochee","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2588-9331","authenticated-orcid":false,"given":"John","family":"Kassotis","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,11,25]]},"reference":[{"key":"bibr1-00033197221137025","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69208-8"},{"key":"bibr2-00033197221137025","first-page":"99","volume":"4","author":"Harris C","year":"2015","journal-title":"Ann Cardiothorac Surg"},{"key":"bibr3-00033197221137025","first-page":"125","volume":"6","author":"Hu PP","year":"2012","journal-title":"Clin Med Insights Cardiol"},{"key":"bibr4-00033197221137025","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-302401"},{"key":"bibr5-00033197221137025","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2017.10.17"},{"key":"bibr6-00033197221137025","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27257"},{"key":"bibr7-00033197221137025","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.11.014"},{"key":"bibr8-00033197221137025","doi-asserted-by":"publisher","DOI":"10.1177\/1077558707305416"},{"key":"bibr9-00033197221137025","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.04.043"},{"key":"bibr10-00033197221137025","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-3-25"},{"key":"bibr11-00033197221137025","unstructured":"United States Census Quick Facts. 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