Evidence map›Paper›PMID 29934419›Full record

SynthesisJournal of the American Heart Association2018

Infective Endocarditis After Melody Valve Implantation in the Pulmonary Position: A Systematic Review.

Mohammad Abdelghani, Martina Nassif, Nico A Blom, Martijn S Van Mourik, Bart Straver, David R Koolbergen, Jolanda Kluin, Jan G Tijssen, Barbara J M Mulder, Berto J Bouma and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Endocarditis due toRevista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    Article
  8. Article
  9. Serial Changes in Right Ventricular Outflow Tract Gradient and Endocarditis Risk After Transcatheter Pulmonary Valve Replacement.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Optimal Surgical Management of Tetralogy of Fallot.CJC pediatric and congenital heart disease · 2023
    Review
  18. Article
  19. Access to Specialized Care Across the Lifespan in Tetralogy of Fallot.CJC pediatric and congenital heart disease · 2023
    Review
  20. Unmet Clinical Needs for Transcatheter Pulmonary Valves.Annals of biomedical engineering · 2023
    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

11 authors at 2 institutions in 1 country.

Mohammad AbdelghaniDepartment of Cardiology, Academic Medical Center, University of Amsterdam, the Netherlands.
Martina NassifDepartment of Cardiology, Academic Medical Center, University of Amsterdam, the Netherlands.
Nico A BlomDepartment of Cardiology, Academic Medical Center, University of Amsterdam, the Netherlands.
Martijn S Van MourikDepartment of Cardiology, Academic Medical Center, University of Amsterdam, the Netherlands.
Bart StraverDepartment of Pediatric Cardiology, Academic Medical Center, University of Amsterdam, the Netherlands.
David R KoolbergenDepartment of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, the Netherlands.
Jolanda KluinDepartment of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, the Netherlands.
Jan G TijssenDepartment of Cardiology, Academic Medical Center, University of Amsterdam, the Netherlands.
Barbara J M MulderDepartment of Cardiology, Academic Medical Center, University of Amsterdam, the Netherlands.
Berto J BoumaDepartment of Cardiology, Academic Medical Center, University of Amsterdam, the Netherlands.
Robbert J de WinterDepartment of Cardiology, Academic Medical Center, University of Amsterdam, the Netherlands r.j.dewinter@amc.uva.nl.
Academic Medical Center · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfective endocarditis (IE) after transcatheter pulmonary valve implantation (TPVI) in dysfunctioning right ventricular outflow tract conduits has evoked growing concerns. We aimed to investigate the incidence and the natural history of IE after TPVI with the Melody valve through a systematic review of published data. METHODS AND

resultsPubMed, EMBASE, and Web of Science databases were systematically searched for articles published until March 2017, reporting on IE after TPVI with the Melody valve. Nine studies (including 851 patients and 2060 patient-years of follow-up) were included in the analysis of the incidence of IE. The cumulative incidence of IE ranged from 3.2% to 25.0%, whereas the annualized incidence rate ranged from 1.3% to 9.1% per patient-year. The median (interquartile range) time from TPVI to the onset of IE was 18.0 (9.0-30.4) months (range, 1.0-72.0 months). The most common findings were positive blood culture (93%), fever (89%), and new, significant, and/or progressive right ventricular outflow tract obstruction (79%); vegetations were detectable on echocardiography in only 34% of cases. Of 69 patients with IE after TPVI, 6 (8.7%) died and 35 (52%) underwent surgical and/or transcatheter reintervention. Death or reintervention was more common in patients with new/significant right ventricular outflow tract obstruction (69% versus 33%;

conclusionsThe incidence of IE after implantation of a Melody valve is significant, at least over the first 3 years after TPVI, and varies considerably between the studies. Although surgical/percutaneous reintervention is a common consequence, some patients can be managed medically, especially those with streptococcal infection and no right ventricular outflow tract obstruction.

Indexed as

AdolescentAdultBioprosthesisChildChild, PreschoolEndocarditisFemaleHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansIncidenceMaleMiddle AgedProsthesis DesignProsthesis-Related InfectionsPulmonary Valvecongenital heart diseaseendocarditisMelody valvepercutaneous pulmonary valve implantationpercutaneous valvepulmonary valvetranscatheter valve implantation

Identifiers

PMID29934419
PMCPMC6064882
OpenAlexW2809051025

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.