Evidence map›Paper›PMID 26543600›Full record

ReviewJournal of thoracic disease2015

Preferential short cut or alternative route: the transaxillary access for transcatheter aortic valve implantation.

Niklas Schofer, Florian Deuschl, Lenard Conradi, Edith Lubos, Johannes Schirmer, Hermann Reichenspurner, Stefan Blankenberg, Hendrik Treede, Ulrich Schäfer

Registry-linked trialAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of thoracic disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04274751 (Comparison of Transaxillary and Transfemoral Fully-percutaneous Approaches for Transcatheter Aortic Valve Implantation), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04274751 completednot on this mapstarted 2019, after this paper: background citation

Comparison of Transaxillary and Transfemoral Fully-percutaneous Approaches for Transcatheter Aortic Valve Implantation: The TRANSAX Study

TypeobservationalSponsorIgnacio J. Amat SantosRan2019 to 2020Enrolled75ConditionsAortic Valve StenosisArmsTranscatheter aortic valve implantation
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Percutaneous versus surgical transaxillary access for transcatheter aortic valve replacement: a propensity-matched analysis of the US experience.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Article
  9. Review
  10. Review
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  12. Review
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

9 authors.

Niklas Schofer1 Department for General and Interventional Cardiology, 2 Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf, Germany.
Florian Deuschl1 Department for General and Interventional Cardiology, 2 Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf, Germany.
Lenard Conradi1 Department for General and Interventional Cardiology, 2 Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf, Germany.
Edith Lubos1 Department for General and Interventional Cardiology, 2 Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf, Germany.
Johannes Schirmer1 Department for General and Interventional Cardiology, 2 Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf, Germany.
Hermann Reichenspurner1 Department for General and Interventional Cardiology, 2 Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf, Germany.
Stefan Blankenberg1 Department for General and Interventional Cardiology, 2 Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf, Germany.
Hendrik Treede1 Department for General and Interventional Cardiology, 2 Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf, Germany.
Ulrich Schäfer1 Department for General and Interventional Cardiology, 2 Department of Cardiovascular Surgery, University Heart Center, University Hospital Hamburg-Eppendorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transcatheter aortic valve implantation (TAVI) has gained widespread acceptance as a treatment option for patients at high risk for conventional aortic valve replacement. The most commonly used access site for TAVI is the common femoral artery. Yet, in a significant number of patients the transfemoral access is not suitable due to peripheral vascular disease of the lower extremity. In these cases the transaxillary approach can serve as an alternative implantation route. By considering the anatomical requirements and providing an adequate endovascular "safety-net" during the procedure the transaxillary TAVI approach results in excellent procedural and clinical outcome. However, whether the transaxillary access for TAVI is superior to other non-transfemoral approaches (e.g., transapical or direct aortic) needs to be studied in the future in a prospective randomized trial.

Indexed as

Aortic stenosisaxillary arterytranscatheter aortic valve implantation (TAVI)

Identifiers

PMID26543600
PMCPMC4598529

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.