Evidence map›Paper›PMID 31549579›Full record

SynthesisJournal of the American Heart Association2019

Three-Dimensional Echocardiography for Transcatheter Aortic Valve Replacement Sizing: A Systematic Review and Meta-Analysis.

Lisa Q Rong, Irbaz Hameed, Arash Salemi, Mohamed Rahouma, Faiza M Khan, Harindra C Wijeysundera, Dominick J Angiolillo, Linda Shore-Lesserson, Giuseppe Biondi-Zoccai, Leonard N Girardi and 2 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Aortic regurgitation: from mechanisms to management.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Preoperative TAVR Planning: How to Do It.Journal of clinical medicine · 2022
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. The TAVR that Got Away: A Case Report.CASE (Philadelphia, Pa.) · 2020
    Article
  19. Review
  20. 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.

Lisa Q RongDepartment of Anesthesiology Weill Cornell Medicine New York NY.
Irbaz HameedDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY.
Arash SalemiDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY.
Mohamed RahoumaDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY.
Faiza M KhanDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY.
Harindra C WijeysunderaSchulich Heart Centre Sunnybrook Health Science University of Toronto Canada.
Dominick J AngiolilloDivision of Cardiology University of Florida College of Medicine Jacksonville FL.
Linda Shore-LessersonDepartment of Anesthesiology North Shore University Hospital Manhasset NY.
Giuseppe Biondi-ZoccaiDepartment of Medico-Surgical Sciences and Biotechnologies Sapienza University of Rome Latina Italy.
Leonard N GirardiDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY.
Stephen E FremesSchulich Heart Centre Sunnybrook Health Science University of Toronto Canada.
Mario GaudinoDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Transcatheter aortic valve replacement (TAVR) is the standard of care for many patients with severe symptomatic aortic stenosis and relies on accurate sizing of the aortic annulus. It has been suggested that 3-dimensional transesophageal echocardiography (3D TEE) may be used instead of multidetector computed tomography (MDCT) for TAVR planning. This systematic review and meta-analysis compared 3D TEE and MDCT for pre-TAVR measurements. Methods and Results A systematic literature search was performed. The primary outcome was the correlation coefficient between 3D TEE- and MDCT-measured annular area. Secondary outcomes were correlation coefficients for mean annular diameter, annular perimeter, and left ventricular outflow tract area; interobserver and intraobserver agreements; mean differences between 3D TEE and MDCT measurements; and pooled sensitivities, specificities, and receiver operating characteristic area under curve values of 3D TEE and MDCT for discriminating post-TAVR paravalvular aortic regurgitation. A random effects model was used. Meta-regression and leave-one-out analysis for the primary outcome were performed. Nineteen studies with a total of 1599 patients were included. Correlations between 3D TEE and MDCT annular area, annular perimeter, annular diameter, and left ventricular outflow tract area measurements were strong (0.86 [95% CI, 0.80-0.90]; 0.89 [CI, 0.82-0.93]; 0.80 [CI, 0.70-0.87]; and 0.78 [CI, 0.61-0.88], respectively). Mean differences between 3D TEE and MDCT between measurements were small and nonsignificant. Interobserver and intraobserver agreement and discriminatory abilities for paravalvular aortic regurgitation were good for both 3D TEE and MDCT. Conclusions For pre-TAVR planning, 3D TEE is comparable to MDCT. In patients with renal dysfunction, 3D TEE may be potentially advantageous for TAVR measurements because of the lack of contrast exposure.

Indexed as

Echocardiography, Three-DimensionalHeart Valve ProsthesisMultidetector Computed TomographyAgedAged, 80 and overAortic ValveAortic Valve StenosisFemaleHumansMaleObserver VariationPredictive Value of TestsProsthesis DesignRadiographic Image Interpretation, Computer-AssistedReproducibility of ResultsSeverity of Illness Indexmultidetector row computed tomographytransesophageal echocardiographytransfemoral aortic valve implantation

Identifiers

PMID31549579
PMCPMC6806040

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.