Evidence map›Paper›PMID 30790417›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2019

Left ventricular geometry predicts optimal response to percutaneous mitral repair via MitraClip: Integrated assessment by two- and three-dimensional echocardiography.

Jiwon Kim, Javid Alakbarli, Maria Chiara Palumbo, Lola X Xie, Lisa Q Rong, Nathan H Tehrani, Lillian R Brouwer, Richard B Devereux, Shing Chiu Wong, Geoffrey W Bergman and 4 more

Abstract read
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. 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

14 authors.

Jiwon KimGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-8420-8604
Javid AlakbarliGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.
Maria Chiara PalumboGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.
Lola X XieDivision of Cardiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Lisa Q RongGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.
Nathan H TehraniGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.
Lillian R BrouwerGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.
Richard B DevereuxGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.
Shing Chiu WongGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-6064-5199
Geoffrey W BergmanGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.
Omar K KhaliqueDivision of Cardiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Robert A LevineDivision of Cardiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Mark B RatcliffeDepartment of Bioengineering, University of California, Veterans Affairs Medical Center, San Francisco, California.
Jonathan W WeinsaftGreenberg Cardiology Division, Weill Cornell Medicine, New York, New York.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
CMR Myocardial Tissue Based Prediction of Ischemic MR Revascularization ResponseR01HL128278 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI WEINSAFT, JONATHAN W. · 2015 to 2019
$3.8M
Advanced CMR Tissue-Based Prediction of Right Ventricular Dysfunction and Revascularization ResponseK23HL140092 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI KIM, JIWON · 2018 to 2022
$847k
NCI NIH HHS P30 CA008748NHLBI NIH HHS K23 HL140092NHLBI NIH HHS R01 HL128278
6 · The paper itself

Abstract

objectivesTo assess impact of left ventricular (LV) chamber remodeling on MitraClip (MClp) response.

backgroundMitraClip is the sole percutaneous therapy approved for mitral regurgitation (MR) but response varies. LV dilation affects mitral coaptation; determinants of MClp response are uncertain.

methodsLV and mitral geometry were quantified on pre- and post-procedure two-dimensional (2D) transthoracic echocardiography (TTE) and intra-procedural three-dimensional (3D) transesophageal echocardiography (TEE). Optimal MClp response was defined as ≤mild MR at early (1-6 month) follow-up.

resultsSixty-seven degenerative MR patients underwent MClp: Whereas MR decreased ≥1 grade in 94%, 39% of patients had optimal response (≤mild MR). Responders had smaller pre-procedural LV end-diastolic volume (94 ± 24 vs. 109 ± 25 mL/m

conclusionsAmong degenerative MR patients undergoing MClp, LV and mitral annular dilation augment risk for residual or recurrent MR, supporting the concept that MClp therapeutic response is linked to sub-valvular remodeling.

Indexed as

Echocardiography, Doppler, ColorEchocardiography, Doppler, PulsedEchocardiography, Three-DimensionalEchocardiography, TransesophagealHeart Valve ProsthesisVentricular Function, LeftVentricular RemodelingAgedAged, 80 and overCardiac CatheterizationFemaleHeart Valve Prosthesis ImplantationHeart VentriclesHemodynamicsHumansMaleimagingmitral valve diseasepercutaneous interventionstructural heart disease interventionTTE/TEE

Identifiers

PMID30790417
PMCPMC6537596

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.