Evidence map›Paper›PMID 27752761›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2017

Impact of cardiac comorbidities on early and 1-year outcome after percutaneous mitral valve interventions: data from the German transcatheter mitral valve interventions (TRAMI) registry.

Carsten Schwencke, Klaudija Bijuklic, Taoufik Ouarrak, Edith Lubos, Wolfgang Schillinger, Björn Plicht, Holger Eggebrecht, Stephan Baldus, Gerhard Schymik, Peter Boekstegers and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Functional status and quality of life after transcatheter mitral valve repair: a prospective cohort study and systematic review.Clinical research in cardiology : official journal of the German Cardiac Society · 2017
    Pooled it
  3. Article
  4. Article
  5. Prognosis of persistent mitral regurgitation in patients undergoing transcatheter aortic valve replacement.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    Article
  6. Mitral valve leaflet repair with the new PASCAL system: early real-world data from a German multicentre experience.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    Article
  7. Article
  8. Article
  9. Atrioventricular valve disease: challenges and achievements in percutaneous treatment.Clinical research in cardiology : official journal of the German Cardiac Society · 2018
    Review
  10. Review
  11. Cardiac surgery 2016 reviewed.Clinical research in cardiology : official journal of the German Cardiac Society · 2017
    Review
  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

13 authors at 7 institutions in 1 country.

Carsten SchwenckeHamburg University Cardiovascular Center, Wördemanns Weg 25-27, 22527, Hamburg, Germany. schwencke@herz-hh.de.
Klaudija BijuklicHamburg University Cardiovascular Center, Wördemanns Weg 25-27, 22527, Hamburg, Germany.
Taoufik OuarrakInstitute for Myocardial Infarction Research Foundation, Ludwigshafen, Germany.
Edith LubosDepartment of General and Interventional Cardiology, University Heart Center Hamburg, Hamburg, Germany.
Wolfgang SchillingerHELIOS Albert-Schweizer-Klinik Northeim, Northeim, Germany.
Björn PlichtKlinikum Westfalen, Dortmund, Germany.
Holger EggebrechtCardiovascular Center Bethanien, Frankfurt, Germany.
Stephan BaldusDepartment of Cardiology, Heart Center, University Hospital Cologne, Cologne, Germany.
Gerhard SchymikDepartment of Cardiology and Angiology, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
Peter BoekstegersDepartment of Cardiology and Angiology, HELIOS Heart Center Siegburg, Siegburg, Germany.
Rainer HoffmannDepartment of Cardiology and Angiology, Bonifatius Hospital Lingen, Lingen, Germany.
Jochen SengesInstitute for Myocardial Infarction Research Foundation, Ludwigshafen, Germany.
Joachim SchoferHamburg University Cardiovascular Center, Wördemanns Weg 25-27, 22527, Hamburg, Germany.
Universität Hamburg · DECardiovascular Center Bethanien · DEHelios Hospital Siegburg · DEStädtisches Klinikum Karlsruhe · DESt. Bonifatius Hospital · DEUniversity Hospital Cologne · DEUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe use of the MitraClip system has gained widespread acceptance for the treatment of patients with mitral regurgitation (MR) who are not suitable for the conventional surgery. This study sought to investigate the early and 1-year outcome after MitraClip therapy of patients with MR and cardiac comorbidities. METHODS AND

resultsOutcomes through 12-month follow-up of patients (n = 528) who underwent MitraClip implantation were obtained from the German transcatheter mitral valve interventions (TRAMI) registry. The majority of these patients (n = 409, 77.5 %) also suffered from coronary artery disease (CAD). Patients with a dilated cardiomyopathy (DCM, n = 65, 12.3 %) or concomitant valvular aortic disease (AV, n = 54, 10.2 %) were less frequent. Although the prevalent pathogenesis was functional MR, patients with DCM had significantly more frequent a functional MR (96.9 %) compared to patients with CAD (74.9 %) or AV (62.5 %, p < 0.001). Technical success was achieved in 97.5 % of patients. Procedural echocardiograms demonstrated in the vast majority of patients a reduction from severe MR III to mild MR I with no difference between the groups (p = 0.83). The peri-procedural complication rate was very low. At 30-day and 12-month follow-up, the majority of patients were in NYHA functional class II or lower. The rate of death, stroke, and myocardial infarction (MACCE) was comparable in the three patient groups during 12-month follow-up (DCM 26.9 %, CAD 30.3 % and AV 27.5 %, p = 0.85).

conclusionsThe MitraClip implantation is feasible and safe even in high-risk patients with MR and cardiac comorbidities.

Indexed as

Heart Valve ProsthesisRegistriesAgedAortic Valve InsufficiencyCardiac CatheterizationCardiomyopathy, DilatedComorbidityCoronary Artery DiseaseFemaleFollow-Up StudiesGermanyHumansMaleMitral Valve InsufficiencyPostoperative PeriodPrevalenceAortic valve diseaseCoronary heart diseaseDilated cardiomyopathyMitraClipMitral regurgitation

Identifiers

PMID27752761
OpenAlexW2537989006

What OpenQuestion holds

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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.