Evidence map›Paper›PMID 32772772›Full record

SynthesisJournal of the American Heart Association2020

Infective Endocarditis After Surgical and Transcatheter Aortic Valve Replacement: A State of the Art Review.

Sophia L Alexis, Aaqib H Malik, Isaac George, Rebecca T Hahn, Omar K Khalique, Karthik Seetharam, Deepak L Bhatt, Gilbert H L Tang

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
7.0field-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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Interhospital variability in 180-day infections following cardiac surgery.The Journal of thoracic and cardiovascular surgery · 2025
    Article
  6. Fatal Complications inJournal of fungi (Basel, Switzerland) · 2025
    Article
  7. Non-pulmonary postoperative complications of cardiothoracic surgery.Diagnostic and interventional radiology (Ankara, Turkey) · 2025
    Review
  8. Article
  9. ENDOCOR: a nationwide consortium of endocarditis teams-initiating a registry for infective endocarditis within the Netherlands Heart Registration.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025
    Article
  10. Article
  11. The Evolving Risk of Infective Endocarditis After Transcatheter Aortic Valve Implantation.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Aortic Valve Replacement in the Current Era.Journal of clinical medicine · 2025
    Review
  18. Article
  19. Article
  20. The emerging challenge ofClinical microbiology reviews · 2024
    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

8 authors at 5 institutions in 1 country.

Sophia L AlexisDepartment of Cardiovascular Surgery Mount Sinai Medical Center New York NY.
Aaqib H MalikDepartment of Medicine Westchester Medical Center Valhalla NY.
Isaac GeorgeDivision of Cardiac Surgery Columbia University Medical Center New York NY.
Rebecca T HahnDivision of Cardiology Columbia University Medical Center New York NY.
Omar K KhaliqueDivision of Cardiology Columbia University Medical Center New York NY.
Karthik SeetharamIcahn School of Medicine at Mount Sinai New York NY.
Deepak L BhattBrigham and Women's Hospital Heart & Vascular Center Harvard Medical School Boston MA.
Gilbert H L TangDepartment of Cardiovascular Surgery Mount Sinai Medical Center New York NY.
Columbia University Irving Medical Center · USMount Sinai Medical Center · USBrigham and Women's Hospital · USIcahn School of Medicine at Mount Sinai · USWestchester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prosthetic valve endocarditis (PVE) after surgical aortic valve replacement and transcatheter aortic valve replacement (TAVR) carries significant morbidity/mortality. Our review aims to compare incidence, predisposing factors, microbiology, diagnosis, management, and outcomes of PVE in surgical aortic valve replacement/TAVR patients. We searched PubMed and Embase to identify published studies from January 1, 2015 to March 13, 2020. Key words were indexed for original reports, clinical studies, and reviews. Reports were evaluated by 2 authors against a priori inclusion/exclusion criteria. Studies were included if they reported incidence and outcomes related to surgical aortic valve replacement/TAVR PVE and excluded if they were published pre-2015 or included a small population. We followed the Cochrane methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for all stages of the design and implementation. Study quality was based on the Newcastle-Ottawa Scale. Thirty-three studies with 311 to 41 025 patients contained relevant information. The majority found no significant difference in incidence of surgical aortic valve replacement/TAVR PVE (reported as 0.3%-1.2% per patient-year versus 0.6%-3.4%), but there were key differences in pathogenesis. TAVR has a specific set of infection risks related to entry site, procedure, and device, including nonstandardized protocols for infection control, valve crimping injury, paravalvular leak, neo-leaflet stress, intact/calcified native leaflets, and intracardiac hardware. With the expansion of TAVR to lower risk and younger patients, a better understanding of pathogenesis, patient presentation, and guideline-directed treatment is paramount. When operative intervention is necessary, mortality remains high at 20% to 30%. Unique TAVR infection risks present opportunities for PVE prevention, therefore, further investigation is imperative.

Indexed as

Age FactorsAortic ValveEndocarditisFemaleHeart Valve DiseasesHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansIncidenceMalePostoperative ComplicationsPrognosisProsthesis-Related InfectionsRisk FactorsSex FactorsTranscatheter Aortic Valve Replacementendocarditisprosthetic valve infectiontranscatheter aortic valve implantation

Identifiers

PMID32772772
PMCPMC7660802
OpenAlexW3047668754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.