Evidence map›Paper›PMID 28795259›Full record

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

Comparison of outcomes using balloon-expandable versus self-expanding transcatheter prostheses according to the extent of aortic valve calcification.

Won-Keun Kim, Johannes Blumenstein, Christoph Liebetrau, Andreas Rolf, Luise Gaede, Arnaud Van Linden, Mani Arsalan, Mirko Doss, Jan G P Tijssen, Christian W Hamm and 2 more

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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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Transcatheter aortic valve replacement for pure aortic valve regurgitation: "on-label" versus "off-label" use of TAVR devices.Clinical research in cardiology : official journal of the German Cardiac Society · 2019
    Pooled it
  2. Review
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  12. A novel endovascular treatment for transcatheter aortic valve embolization.Journal of vascular surgery cases and innovative techniques · 2021
    Article
  13. In-hospital outcomes of self-expanding and balloon-expandable transcatheter heart valves in Germany.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Article
  14. Article
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  18. Periprocedural embolisation of a Sapien 3 TAVI prosthesis: failure and success.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    Article
  19. Lower mortality in an all-comers aortic stenosis population treated with TAVI in comparison to SAVR.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    Article
  20. Challenges of recognizing bicuspid aortic valve in elderly patients undergoing TAVR.The international journal of cardiovascular imaging · 2020
    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

12 authors at 4 institutions in 2 countries.

Won-Keun KimDepartment of Cardiology, Kerckhoff Heart Center, 61231, Bad Nauheim, Germany. w.kim@kerckhoff-klinik.de.
Johannes BlumensteinDepartment of Internal Medicine and Cardiology, St. Johannes Hospital, Dortmund, Germany.
Christoph LiebetrauDepartment of Cardiology, Kerckhoff Heart Center, 61231, Bad Nauheim, Germany.
Andreas RolfDepartment of Cardiology, Kerckhoff Heart Center, 61231, Bad Nauheim, Germany.
Luise GaedeDepartment of Internal Medicine and Cardiology, St. Johannes Hospital, Dortmund, Germany.
Arnaud Van LindenDepartment of Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany.
Mani ArsalanDepartment of Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany.
Mirko DossDepartment of Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany.
Jan G P TijssenInstitute of Clinical Epidemiology and Biostatistics, University of Amsterdam, Amsterdam, The Netherlands.
Christian W HammDepartment of Cardiology, Kerckhoff Heart Center, 61231, Bad Nauheim, Germany.
Thomas WaltherDepartment of Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany.
Helge MöllmannDepartment of Internal Medicine and Cardiology, St. Johannes Hospital, Dortmund, Germany.
Kerckhoff Klinik · DESt.-Johannes-Hospital Dortmund · DEUniversity of Giessen · DEUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevice landing zone (DLZ) calcification is an important determinant of procedural success in transcatheter aortic valve implantation (TAVI).

objectiveTo evaluate the impact of DLZ calcification on procedural outcome with different types of transcatheter heart valves (THVs).

methodsAortic valve calcium density (AVC

resultsWith BE THV, PVR ≥2° (2.1 vs. 7.9%; p < 0.001), post-dilatation (12.3 vs. 36.6%; p < 0.001), malpositioning (8.4 vs. 13.0%; p = 0.01), device embolization (0.4 vs. 2.6%; p = 0.004), and the need for a second valve (1.2 vs. 3.6%; p = 0.01) were less frequent than with SE devices, but mean transaortic gradients at discharge were higher [12.0 mmHg (8.0-15.0) vs. 9.0 mmHg (6.0-11.0); p < 0.001], and aortic root injury was more frequent (2.7 vs. 0.8%; p = 0.01). In cases of severe calcification, differences between BE and SE THV regarding PVR, post-dilatation, and hemodynamics were mostly pronounced, followed by patients with moderate AVC

conclusionsIn severe and moderate DLZ calcification, BE devices may have advantages, whereas in mild DLZ calcification, SE

Indexed as

Heart Valve ProsthesisAgedAged, 80 and overAortic ValveAortic Valve StenosisCalcinosisFemaleHumansMaleMultidetector Computed TomographyProsthesis DesignRetrospective StudiesTranscatheter Aortic Valve ReplacementTreatment OutcomeAortic stenosisAortic valve calcificationMDCTTAVI

Identifiers

PMID28795259
OpenAlexW2744533283

What OpenQuestion holds

Textmetadata
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.