Evidence map›Paper›PMID 30135322›Full record

Trial reportCirculation journal : official journal of the Japanese Circulation Society2018

Surgical as Opposed to Transcatheter Aortic Valve Replacement Improves Basal Interventricular Septal Hypertrophy.

Hidetoshi Yoshitani, Akihiro Isotani, Jae-Kwan Song, Shinichi Shirai, Hiromi Umeda, Jeong Yoon Jang, Takeshi Onoue, Misako Toki, Byung-Joo Sun, Dae-Hee Kim and 10 more

Open access · diamondAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Circulation journal : official journal of the Japanese Circulation Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

20 authors at 5 institutions in 3 countries.

Hidetoshi YoshitaniSecond Department of Internal Medicine, University of Occupational and Environmental Health, Japan.
Akihiro IsotaniDepartment of Cardiology, Kokura Memorial Hospital.
Jae-Kwan SongDepartment of Echocardiography, Asan Medical Center.
Shinichi ShiraiDepartment of Cardiology, Kokura Memorial Hospital.
Hiromi UmedaDepartment of Echocardiography, Kokura Memorial Hospital.
Jeong Yoon JangDepartment of Echocardiography, Asan Medical Center.
Takeshi OnoueSecond Department of Internal Medicine, University of Occupational and Environmental Health, Japan.
Misako TokiDepartment of Clinical Laboratory, The Sakakibara Heart Institution of Okayama.
Byung-Joo SunDepartment of Echocardiography, Asan Medical Center.
Dae-Hee KimDepartment of Echocardiography, Asan Medical Center.
Nobuyuki KagiyamaDepartment of Cardiology, The Sakakibara Heart Institution of Okayama.
Akihiro HayashidaDepartment of Cardiology, The Sakakibara Heart Institution of Okayama.
Jong-Min SongDepartment of Echocardiography, Asan Medical Center.
Masataka EtoDepartment of Cardiovascular Surgery, University of Occupational and Environmental Health, Japan.
Yosuke NishimuraDepartment of Cardiovascular Surgery, University of Occupational and Environmental Health, Japan.
Kenji AndoDepartment of Cardiology, Kokura Memorial Hospital.
Michiya HanyuDepartment of Cardiovascular Surgery, Kokura Memorial Hospital.
Kiyoshi YoshidaDepartment of Cardiology, The Sakakibara Heart Institution of Okayama.
Robert A LevineCardiac Ultrasound Laboratory, Massachusetts General Hospital.
Yutaka OtsujiSecond Department of Internal Medicine, University of Occupational and Environmental Health, Japan.
Asan Medical Center · KRKokura Memorial Hospital · JPUniversity of Occupational and Environmental Health Japan · JPSakakibara Hospital · JPMassachusetts General Hospital · US

Funding

Improving Mitral Compensation In Ischemic RegurgitationR01HL141917 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI AIKAWA, ELENA, BISCHOFF, JOYCE E. · 2018 to 2021
$5.6M
Treating Ventricle and Valve: New Synergies for Ischemic LV Remodeling with MRR01HL128099 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI AKAR, FADI GABRIEL, LEVINE, ROBERT A · 2016 to 2019
$2.8M
NHLBI NIH HHS R01 HL128099NHLBI NIH HHS R01 HL141917
6 · The paper itself

Abstract

backgroundBasal interventricular septum (IVS) hypertrophy (BSH) with reduced basal IVS contraction and IVS-aorta angle is frequently associated with aortic stenosis (AS). BSH shape suggests compression by the longitudinally elongated ascending aorta, causing basal IVS thickening and contractile dysfunction, further suggesting the possibility of aortic wall shortening to improve the BSH. Surgical aortic valve replacement (SAVR), as opposed to transcatheter AVR (TAVR), includes aortic wall shortening by incision and stitching on the wall and may potentially improve BSH. We hypothesized that BSH configuration and its contraction improves after SAVR in patients with AS. METHODS AND 

resultsIn 32 patients with SAVR and 36 with TAVR for AS, regional wall thickness and systolic contraction (longitudinal strain) of 18 left ventricular (LV) segments, and IVS-aorta angle were measured on echocardiography. After SAVR, basal IVS/average LV wall thickness ratio, basal IVS strain, and IVS-aorta angle significantly improved (1.11±0.24 to 1.06±0.17; -6.2±5.7 to -9.1±5.2%; 115±22 to 123±14°, P<0.001, respectively). Contractile improvement in basal IVS was correlated with pre-SAVR BSH (basal IVS/average LV wall thickness ratio or IVS-aorta angle: r=0.47 and 0.49, P<0.01, respectively). In contrast, BSH indices did not improve after TAVR.

conclusionsIn patients with AS, SAVR as opposed to TAVR improves associated BSH and its functional impairment.

Indexed as

Heart Valve ProsthesisAgedAged, 80 and overAortic ValveAortic Valve StenosisFemaleHeart Septal Defects, VentricularHumansMaleMiddle AgedRetrospective StudiesTranscatheter Aortic Valve ReplacementAortic valve replacementAortic valve stenosisBasal septal interventricular hypertrophy

Identifiers

PMID30135322
PMCPMC6205894
OpenAlexW2888411836

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.