Evidence map›Paper›PMID 32026185›Full record

ArticleMedical & biological engineering & computing2020

Simulation study of transcatheter heart valve implantation in patients with stenotic bicuspid aortic valve.

Salvatore Pasta, Stefano Cannata, Giovanni Gentile, Marzio Di Giuseppe, Federica Cosentino, Francesca Pasta, Valentina Agnese, Diego Bellavia, Giuseppe M Raffa, Michele Pilato and 1 more

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In one paragraph

Article in Medical & biological engineering & computing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
6.9field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 67 citations in OpenAlex.

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  11. Differences in blood flow dynamics between balloon- and self-expandable valves in patients with aortic stenosis undergoing transcatheter aortic valve replacement.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
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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

11 authors at 3 institutions in 1 country.

Salvatore PastaDepartment of Engineering, Viale Delle Scienze, Università degli Studi di Palermo, Ed.8, 90128, Palermo, Italy. salvatore.pasta@unipa.it.ORCID http://orcid.org/0000-0002-4841-2560
Stefano CannataDepartment for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT, via Tricomi n.5, 90127, Palermo, Italy.
Giovanni GentileDepartment of Diagnostic and Therapeutic Services, Radiology Unit, IRCCS-ISMETT, Palermo, Italy.
Marzio Di GiuseppeDepartment of Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.
Federica CosentinoDepartment of Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.
Francesca PastaBiomedicina, Neuroscienze e Diagnostica Avanzata, Università degli Studi di Palermo, via del Vespro, n.129, 90128, Palermo, Italy.
Valentina AgneseDepartment for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT, via Tricomi n.5, 90127, Palermo, Italy.
Diego BellaviaDepartment for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT, via Tricomi n.5, 90127, Palermo, Italy.
Giuseppe M RaffaDepartment for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT, via Tricomi n.5, 90127, Palermo, Italy.
Michele PilatoDepartment for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT, via Tricomi n.5, 90127, Palermo, Italy.
Caterina GandolfoDepartment for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT, via Tricomi n.5, 90127, Palermo, Italy.
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione · ITUniversity of Palermo · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

Ministero della Salute GR-2011-02348129
6 · The paper itself

Abstract

Bicuspid aortic valve (BAV) anatomy has routinely been considered an exclusion in the setting of transcatheter aortic valve implantation (TAVI) because of the large dimension of the aortic annulus having a more calcified, bulky, and irregular shape. The study aims to develop a patient-specific computational framework to virtually simulate TAVI in stenotic BAV patients using the Edwards SAPIEN 3 valve (S3) and its improved version SAPIEN 3 Ultra and quantify stent frame deformity as well as the severity of paravalvular leakage (PVL). Specifically, the aortic root anatomy of n.9 BAV patients who underwent TAVI was reconstructed from pre-operative CT imaging. Crimping and deployment of S3 frame were performed and then followed by fluid-solid interaction analysis to simulate valve leaflet dynamics throughout the entire cardiac cycle. Modeling revealed that the S3 stent frame expanded well on BAV anatomy with an elliptical shape at the aortic annulus. Comparison of predicted S3 deformity as assessed by eccentricity and expansion indices demonstrated a good agreement with the measurement obtained from CT imaging. Blood particle flow analysis demonstrated a backward blood jet during diastole, whereas the predicted PVL flows corresponded well with those determined by transesophageal echocardiography. This study represents a further step towards the use of personalized simulations to virtually plan TAVI, aiming at improving not only the efficacy of the implantation but also the exploration of "off-label" applications as the TAVI in the setting of BAV patients. Graphical abstract Computational frameworks of TAVI in patients with stenotic bicuspid aortic valve.

Indexed as

Surgery, Computer-AssistedAgedAged, 80 and overAortic Valve StenosisBicuspid Aortic Valve DiseaseComputational BiologyEchocardiography, TransesophagealFemaleFinite Element AnalysisHumansImage Processing, Computer-AssistedMaleModels, AnatomicPrecision MedicinePreoperative CareRetrospective StudiesBicuspid aortic valveFinite-element analysisFluid-solid interactionTranscatheter aortic valve implantation

Identifiers

PMID32026185
OpenAlexW3004717447

What OpenQuestion holds

Textmetadata
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.