Evidence map›Paper›PMID 33068017›Full record

ArticleJournal of the American Geriatrics Society2021

Cerebral Blood Flow in Patients with Severe Aortic Valve Stenosis Undergoing Transcatheter Aortic Valve Implantation.

Wieneke Vlastra, Astrid C van Nieuwkerk, Anne-Sophie G T Bronzwaer, Adriaan Versteeg, Esther E Bron, Wiro J Niessen, Henk J M M Mutsaerts, Björn J P van der Ster, Charles B L M Majoie, Geert J Biessels and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
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  4. The Impact of Cognitive Impairment on Cardiovascular Disease.Journal of the American College of Cardiology · 2025
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  10. Cardiac output, cerebral blood flow and cognition in patients with severe aortic valve stenosis undergoing transcatheter aortic valve implantation: design and rationale of the CAPITA study.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2023
    Article
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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

17 authors at 7 institutions in 2 countries.

Wieneke VlastraDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Heart Center, Amsterdam, the Netherlands.
Astrid C van NieuwkerkDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Heart Center, Amsterdam, the Netherlands.
Anne-Sophie G T BronzwaerDepartment of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Adriaan VersteegDepartment of Radiology and Nuclear Medicine, Biomedical Imaging Group Rotterdam, Erasmus MC-University Medical Center Rotterdam, Rotterdam, the Netherlands.
Esther E BronDepartment of Radiology and Nuclear Medicine, Biomedical Imaging Group Rotterdam, Erasmus MC-University Medical Center Rotterdam, Rotterdam, the Netherlands.
Wiro J NiessenDepartment of Radiology and Nuclear Medicine, Biomedical Imaging Group Rotterdam, Erasmus MC-University Medical Center Rotterdam, Rotterdam, the Netherlands.
Henk J M M MutsaertsDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Center, location AMC and VUmc, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0003-0894-0307
Björn J P van der SterDepartment of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Charles B L M MajoieDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Center, location AMC and VUmc, University of Amsterdam, Amsterdam, the Netherlands.
Geert J BiesselsDepartment of Neurology and Neurosurgery, Brain Centre Rudolf Magnus, University Medical Centre Utrecht, Utrecht, the Netherlands.
Aart J NederveenDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Center, location AMC and VUmc, University of Amsterdam, Amsterdam, the Netherlands.
Mat J A P DaemenDepartment of Pathology, Amsterdam University Medical Center, locations AMC and VUmc, University of Amsterdam, Amsterdam, the Netherlands.
Matthias J P van OschDepartment of Radiology, C.J. Gorter Center for High Field MRI, Leiden University Medical Center, Leiden, the Netherlands.
Jan BaanDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Heart Center, Amsterdam, the Netherlands.
Jan J PiekDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Heart Center, Amsterdam, the Netherlands.
Johannes J Van LieshoutDepartment of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Ronak DelewiDepartment of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Heart Center, Amsterdam, the Netherlands.ORCID 0000-0001-6070-9423
Amsterdam Neuroscience · NLAmsterdam University Medical Centers · NLErasmus MC · NLAmsterdam UMC Location University of Amsterdam · NLLeiden University Medical Center · NLUniversity Medical Center Utrecht · NLUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscatheter aortic valve implantation (TAVI) is a minimally invasive, life-saving treatment for patients with severe aortic valve stenosis that improves quality of life. We examined cardiac output and cerebral blood flow in patients undergoing TAVI to test the hypothesis that improved cardiac output after TAVI is associated with an increase in cerebral blood flow.

designProspective cohort study.

settingEuropean high-volume tertiary multidisciplinary cardiac care.

participantsThirty-one patients (78.3 ± 4.6 years; 61% female) with severe symptomatic aortic valve stenosis. MEASUREMENTS: Noninvasive prospective assessment of cardiac output (L/min) by inert gas rebreathing and cerebral blood flow of the total gray matter (mL/100 g per min) using arterial spin labeling magnetic resonance imaging in resting state less than 24 hours before TAVI and at 3-month follow-up. Cerebral blood flow change was defined as the difference relative to baseline.

resultsOn average, cardiac output in patients with severe aortic valve stenosis increased from 4.0 ± 1.1 to 5.4 ± 2.4 L/min after TAVI (P = .003). The increase in cerebral blood flow after TAVI strongly varied between patients (7% ± 24%; P = .41) and related to the increase in cardiac output, with an 8.2% (standard error = 2.3%; P = .003) increase in cerebral blood flow per every additional liter of cardiac output following the TAVI procedure.

conclusionFollowing TAVI, there was an association of increase in cardiac output with increase in cerebral blood flow. These findings encourage future larger studies to determine the influence of TAVI on cerebral blood flow and cognitive function.

Indexed as

BrainCerebrovascular CirculationQuality of LifeAgedAortic Valve StenosisCardiac OutputCohort StudiesFemaleHumansMagnetic Resonance ImagingMaleNetherlandsOutcome Assessment, Health CareSeverity of Illness IndexTranscatheter Aortic Valve Replacementaortic stenosiscardiac outputcerebral blood flow

Identifiers

PMID33068017
PMCPMC7894507
OpenAlexW3093426675

What OpenQuestion holds

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Registered trials

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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.