Evidence map›Paper›PMID 22245588›Full record

ArticleThe Annals of thoracic surgery2012

The effect of mitral annuloplasty shape in ischemic mitral regurgitation: a finite element simulation.

Vincent M Wong, Jonathan F Wenk, Zhihong Zhang, Guangming Cheng, Gabriel Acevedo-Bolton, Mike Burger, David A Saloner, Arthur W Wallace, Julius M Guccione, Mark B Ratcliffe and 1 more

Open access · greenAbstract read
In one paragraph

Article in The Annals of thoracic surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Guidelines for mechanistic modeling and analysis in cardiovascular research.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. New Insights into Valve Hemodynamics.Rambam Maimonides medical journal · 2020
    Review
  8. Virtual downsizing for decision support in mitral valve repair.International journal of computer assisted radiology and surgery · 2019
    Article
  9. Article
  10. Modelling mitral valvular dynamics-current trend and future directions.International journal for numerical methods in biomedical engineering · 2017
    Article
  11. Article
  12. Computational virtual evaluation of the effect of annuloplasty ring shape.International journal for numerical methods in biomedical engineering · 2017
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. A Characteristic-Based Constitutive Law for Dispersed Fibers.Journal of biomechanical engineering · 2016
    Article
  19. Finite Element Modeling of Mitral Valve Repair.Journal of biomechanical engineering · 2016
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Vincent M WongDepartment of Surgery, University of California, San Francisco, San Francisco, CA 94121, USA.
Jonathan F Wenk
Zhihong Zhang
Guangming Cheng
Gabriel Acevedo-Bolton
Mike Burger
David A Saloner
Arthur W Wallace
Julius M Guccione
Mark B Ratcliffe
Liang Ge
San Francisco VA Medical Center · USUniversity of California, San Francisco · USLa Jolla Bioengineering Institute · USLutheran School of Theology at Chicago · US

Funding

VIRTUAL TOOLS FOR CARDIAC VENTRICULAR REMODELING SURGERYR01HL077921 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GUCCIONE, JULIUS MATTEO · 2006 to 2015
$3.4M
Surgery for Ischemic Mitral RegurgitationR01HL084431 · NHLBI · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI RATCLIFFE, MARK B · 2008 to 2011
$2.5M
Time-resolved MR methods for analysis of contrast and flow velocity in aneurysmsK25NS058573 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ACEVEDO-BOLTON, GABRIEL ALEJANDRO · 2008 to 2012
$704k
NHLBI NIH HHS R01 HL077921NHLBI NIH HHS R01-HL-077921NHLBI NIH HHS R01 HL084431NHLBI NIH HHS R01-HL-084431NINDS NIH HHS K25 NS058573PHS HHS 86400
6 · The paper itself

Abstract

backgroundUndersized mitral annuloplasty (MA) is the preferred surgical treatment for chronic ischemic mitral regurgitation. However, the preferred shape of undersized MA is unclear.

methodsA previously described finite element model of the left ventricle with mitral valve based on magnetic resonance images of a sheep with chronic ischemic mitral regurgitation after posterolateral myocardial infarction was used. Saddle-shape (Edwards Physio II) and asymmetric (IMR ETlogix) MA rings were digitized and meshed. Virtual annuloplasty was performed using virtual sutures to attach the MA ring. Left ventricular diastole and systole were performed before and after virtual MA of each type.

resultsBoth types of MA reduced the septolateral dimension of the mitral annulus and abolished mitral regurgitation. The asymmetric MA was associated with lower virtual suture force in the P2 region but higher force in P1 and P3 regions. Although both types of MA reduced fiber stress at the left ventricular base, fiber stress reduction after asymmetric MA was slightly greater. Neither type of MA affected fiber stress at the left ventricular equator or apex. Although both types of MA increased leaflet curvature and reduced leaflet stress, stress reduction with saddle-shape MA was slightly greater. Both MA types reduced stress on the mitral chordae.

conclusionsThe effects of saddle-shape and asymmetric MA rings are similar. Finite element simulations are a powerful tool that may reduce the need for animal and clinical trials.

Indexed as

Mitral Valve AnnuloplastyAnimalsFinite Element AnalysisHeart Valve ProsthesisHeart Valve Prosthesis ImplantationMitral Valve InsufficiencyMyocardial IschemiaProsthesis DesignStress, Mechanical

Identifiers

PMID22245588
PMCPMC3432639
OpenAlexW2079800044

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.