Evidence map›Paper›PMID 32460798›Full record

ArticleJournal of cardiothoracic surgery2020

Durability of bioprosthetic aortic valves in patients under the age of 60 years - rationale and design of the international INDURE registry.

Bart Meuris, Michael A Borger, Thierry Bourguignon, Matthias Siepe, Martin Grabenwöger, Günther Laufer, Konrad Binder, Gianluca Polvani, Pierluigi Stefano, Enrico Coscioni and 13 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03666741 (Clinical Outcomes of Patients Under the Age of Sixty Undergoing INSPIRIS RESILIA Aortic Valve Replacement), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT03666741 active not recruitingnot on this map

Clinical Outcomes of Patients Under the Age of Sixty Undergoing INSPIRIS RESILIA Aortic Valve Replacement

Typeobservational_patient_registrySponsorInstitut für Pharmakologie und Präventive MedizinRan2019 to 2026Enrolled400ConditionsAortic Valve StenosisArmsAVR with or without CABG
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Could the age threshold for TAVI be relaxed to below 65 years? Pros and cons.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
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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

23 authors.

Bart MeurisCardiac Surgery, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium. bart.meuris@uzleuven.be.
Michael A BorgerLeipzig Heart Center, Leipzig, Germany.
Thierry BourguignonTours University Hospital, Tours, France.
Matthias SiepeHeart Center University of Freiburg, Freiburg and Bad Krozingen, Germany.
Martin GrabenwögerHZH Heart Center Hietzing, Wien, Austria.
Günther LauferMedicine University Wien, Heart Center, Wien, Austria.
Konrad BinderHeart Center University St. Pölten, St. Pölten, Austria.
Gianluca PolvaniCardiology Center Monzino, Milan, MI, Italy.
Pierluigi StefanoCareggi University Hospital, Florence, Italy.
Enrico CoscioniUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.
Wouter van LeeuwenErasmus University Medical Center, Rotterdam, Netherlands.
Philippe DemersMontreal Heart Institute, Montréal, Canada.
Francois DagenaisInstitute University, Cardiology Center, Québec, Canada.
Sergio CanovasHospital University Virgen de la Arrixaca, Murcia, Spain.
Alexis TheronHospital de la Timone, Marseille, France.
Thierry LanganayRennes University Hospital Center, Rennes, France.
Jean-Christian RousselCHU Nantes, Nantes, France.
Olaf WendlerKing's College Hospital NHS Foundation Trust, London, UK.
Giovanni MariscalcoGlenfield Hospital, Leicester, UK.
Renzo PessottoRoyal Infirmary of Edinburgh, Edinburgh, UK.
Beate BottaInstitute for Pharmacology and Preventive Medicine, Cloppenburg, Germany.
Peter BramlageInstitute for Pharmacology and Preventive Medicine, Cloppenburg, Germany.ORCID http://orcid.org/0000-0003-4970-2110
Ruggero de PaulisCardiac Surgery, European Hospital, Rome, Italy.

Funding

Edwards Lifesciences n.a.
6 · The paper itself

Abstract

backgroundThere is an ever-growing number of patients requiring aortic valve replacement (AVR). Limited data is available on the long-term outcomes and structural integrity of bioprosthetic valves in younger patients undergoing surgical AVR.

methodsThe INSPIRIS RESILIA Durability Registry (INDURE) is a prospective, open-label, multicentre, international registry with a follow-up of 5 years to assess clinical outcomes of patients younger than 60 years who undergo surgical AVR using the INSPIRIS RESILIA aortic valve. INDURE will be conducted across 20-22 sites in Europe and Canada and intends to enrol minimum of 400 patients. Patients will be included if they are scheduled to undergo AVR with or without concomitant root replacement and/or coronary bypass surgery. The primary objectives are to 1) determine VARC-2 defined time-related valve safety at one-year (depicted as freedom from events) and 2) determine freedom from stage 3 structural valve degeneration (SVD) presenting as morphological abnormalities and severe haemodynamic valve degeneration at 5 years. Secondary objectives include the assessment of the haemodynamic performance of the valve, all stages of SVD, potential valve-in-valve procedures, clinical outcomes (in terms of New York Heart Association [NYHA] function class and freedom from valve-related rehospitalisation) and change in patient quality-of-life. DISCUSSION: INDURE is a prospective, multicentre registry in Europe and Canada, which will provide much needed data on the long-term performance of bioprosthetic valves in general and the INSPIRIS RESILIA valve in particular. The data may help to gather a deeper understanding of the longevity of bioprosthetic valves and may expand the use of bioprosthetic valves in patients under the age of 60 years.

trial registrationClinicalTrials.gov identifier: NCT03666741 (registration received September, 12th, 2018).

Indexed as

Aortic ValveBioprosthesisHeart Valve ProsthesisHeart Valve Prosthesis ImplantationRegistriesAortic Valve InsufficiencyCanadaEuropeFemaleHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesReoperationTreatment OutcomeAortic valve diseaseINSPIRIS RESILIASAVRStructural valve degenerationSurgical aortic valve replacementValve durability

Identifiers

PMID32460798
PMCPMC7251702

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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.