Evidence map›Paper›PMID 32648007›Full record

ReviewCurrent cardiology reports2020

Can TAVR Be Effectively and Safely Performed Without Intraprocedural TEE?

Livia Gheorghe, Jorn Brouwer, Alejandro Gutierrez, Benno J W M Rensing, Bushra S Rana, Jurrien M Ten Berg, Frank D Eefting, Leo Timmers, Martin J Swaans

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current cardiology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Livia GheorgheDepartment of Cardiology, St. Antonius Hospital, Koekoekslaan 1, 3435 Cm, Nieuwegein, The Netherlands.
Jorn BrouwerDepartment of Cardiology, St. Antonius Hospital, Koekoekslaan 1, 3435 Cm, Nieuwegein, The Netherlands.
Alejandro GutierrezDepartment of Cardiology, Puerta de Mar, Cadiz, Spain.
Benno J W M RensingDepartment of Cardiology, St. Antonius Hospital, Koekoekslaan 1, 3435 Cm, Nieuwegein, The Netherlands.
Bushra S RanaDepartment of Cardiology, Royal Papworth Hospital, Cambridge, UK.
Jurrien M Ten BergDepartment of Cardiology, St. Antonius Hospital, Koekoekslaan 1, 3435 Cm, Nieuwegein, The Netherlands.
Frank D EeftingDepartment of Cardiology, St. Antonius Hospital, Koekoekslaan 1, 3435 Cm, Nieuwegein, The Netherlands.
Leo TimmersDepartment of Cardiology, St. Antonius Hospital, Koekoekslaan 1, 3435 Cm, Nieuwegein, The Netherlands.
Martin J SwaansDepartment of Cardiology, St. Antonius Hospital, Koekoekslaan 1, 3435 Cm, Nieuwegein, The Netherlands. m.swaans@antoniusziekenhuis.nl.ORCID 0000-0003-1608-2760

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe TAVR procedure is a well-established therapy for patients with severe aortic stenosis at intermediate/high risk for surgery and a potential treatment for low-risk patients. It is much less invasive with short hospital stays and presents similar results compared with SAVR. Different "minimalist approach strategies" were proposed in order to obtain this performance. In these settings, transesophageal echocardiography (TEE) became less relevant for the TAVR procedure. The present review provides an update regarding the safety of TAVR without intraprocedural TEE. RECENT

findingsTransthoracic echocardiography and fluoroscopy are the primary imaging tools during TAVR. Several studies proved that TAVR under local anesthesia without TEE is as safe as that performed under TEE guidance. However, not all patients have a proper window for TTE, and particular cases with complex anatomy can benefit from TEE support during the intervention. Intraprocedural TEE no longer plays a crucial role in the TAVR procedure, but in some instances, it remains of great help to detect and avoid complications.

Indexed as

Aortic Valve StenosisTranscatheter Aortic Valve ReplacementEchocardiographyEchocardiography, TransesophagealHumansTreatment OutcomeFluoroscopyTAVRTEETTE

Identifiers

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.