Evidence map›Paper›PMID 30535179›Full record

ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2019

Cardiac remodelling following thoracic endovascular aortic repair for descending aortic aneurysms.

Theodorus M J van Bakel, Christopher J Arthurs, Foeke J H Nauta, Kim A Eagle, Joost A van Herwaarden, Frans L Moll, Santi Trimarchi, Himanshu J Patel, C Alberto Figueroa

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02735720 (The CardiOvascular Remodeling Following Endovascular Aortic Repair), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
5.7field-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.

NCT02735720 terminatednot on this map

The CardiOvascular Remodeling Following Endovascular Aortic Repair (CORE) Study

Typeobservational_patient_registrySponsorUniversity of MichiganRan2017 to 2020Enrolled19ConditionsThoracic Aortic AneurysmArmsTEVAR, Non-TEVAR medical treatment
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Evaluation of Blood Flow Energy Loss before and after Endovascular Aneurysm Repair Using Four-dimensional Flow MR Imaging.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
    Article
  5. Windkessel Preserving Aortic Stent Graft Attenuates Left Ventricular Remodelling after Thoracic Endovascular Aortic Repair in a Porcine Model.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2026
    Article
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  8. DIRECT MEDICAL IMAGE TO SIMULATION USING AUTO-SEGMENTATION AND POINT CLOUD-BASED CFD.Advances in computational science and engineering · 2025
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  17. AnFrontiers in cardiovascular medicine · 2022
    Article
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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 at 5 institutions in 4 countries.

Theodorus M J van BakelDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Christopher J ArthursDivision of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.
Foeke J H NautaDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Kim A EagleDepartment of Cardiology, University of Michigan, Ann Arbor, MI, USA.
Joost A van HerwaardenDepartment of Vascular Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Frans L MollDepartment of Vascular Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Santi TrimarchiThoracic Aortic Research Center, Policlinico San Donato IRCCS, San Donato Milanese, Italy.
Himanshu J PatelDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, MI, USA.
C Alberto FigueroaDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
University Medical Center Utrecht · NLUniversity of Michigan–Ann Arbor · USIRCCS Policlinico San Donato · ITKing's College London · GBUniversity of Milan · IT

Funding

Mechanisms Underlying The Progression of Large Artery Stiffness in HypertensionR01HL105297 · NHLBI · YALE UNIVERSITY · PI FIGUEROA, CARLOS ALBERTO, HUMPHREY, JAY D. · 2010 to 2019
$3.0M
Image-based Multi-scale Modeling Framework of the Cardiopulmonary System: Longitudinal Calibration and Assessment of Therapies in Pediatric Pulmonary HypertensionU01HL135842 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BAEK, SEUNGIK, DORFMAN, ADAM LEE · 2017 to 2020
$2.3M
NHLBI NIH HHS R01 HL105297NHLBI NIH HHS U01 HL135842
6 · The paper itself

Abstract

objectivesCurrent endografts for thoracic endovascular aortic repair (TEVAR) are much stiffer than the aorta and have been shown to induce acute stiffening. In this study, we aimed to estimate the impact of TEVAR on left ventricular (LV) stroke work (SW) and mass using a non-invasive image-based workflow.

methodsThe University of Michigan database was searched for patients treated with TEVAR for descending aortic pathologies (2013-2016). Patients with available pre-TEVAR and post-TEVAR computed tomography angiography and echocardiography data were selected. LV SW was estimated via patient-specific fluid-structure interaction analyses. LV remodelling was quantified through morphological measurements using echocardiography and electrocardiographic-gated computed tomography angiography data.

resultsEight subjects were included in this study, the mean age of the patients was 68 (73, 25) years, and 6 patients were women. All patients were prescribed antihypertensive drugs following TEVAR. The fluid-structure interaction simulations computed a 26% increase in LV SW post-TEVAR [0.94 (0.89, 0.34) J to 1.18 (1.11, 0.65) J, P = 0.012]. Morphological measurements revealed an increase in the LV mass index post-TEVAR of +26% in echocardiography [72 (73, 17)  g/m2 to 91 (87, 26)  g/m2, P = 0.017] and +15% in computed tomography angiography [52 (46, 29)  g/m2 to 60 (57, 22)  g/m2, P = 0.043]. The post- to pre-TEVAR LV mass index ratio was positively correlated with the post- to pre-TEVAR ratios of SW and the mean blood pressure (ρ = 0.690, P = 0.058 and ρ = 0.786, P = 0.021, respectively).

conclusionsTEVAR was associated with increased LV SW and mass during follow-up. Medical device manufacturers should develop more compliant devices to reduce the stiffness mismatch with the aorta. Additionally, intensive antihypertensive management is needed to control blood pressure post-TEVAR.

Indexed as

Ventricular RemodelingAgedAorta, ThoracicAortic Aneurysm, ThoracicAortographyBlood Vessel Prosthesis ImplantationComputed Tomography AngiographyEchocardiographyEndovascular ProceduresFemaleFollow-Up StudiesHeart VentriclesHumansMalePostoperative PeriodPrognosisCardiac remodellingComputational modellingStroke workThoracic endovascular aortic repair

Identifiers

PMID30535179
PMCPMC6537936
OpenAlexW2905106903

What OpenQuestion holds

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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.