$re = '/(?<=href=\')()(?={{.*}})/';
$str = '<a href=\'{{url}}\'>Link</a>
<p>This text {{urlAltTag}} will not get replaced</p>
<a href=\'{{urlAltTag}}\' download=\'true\'>Another Link</a>';
$subst = "https://myurl.com?redirect=\1";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php