Evidence map›Paper›PMID 33494616›Full record

ReviewJournal of the American Heart Association2021

Noncalcific Mechanisms of Bioprosthetic Structural Valve Degeneration.

Matteo Marro, Alexander P Kossar, Yingfei Xue, Antonio Frasca, Robert J Levy, Giovanni Ferrari

Abstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. [Structural valve deterioration after transcatheter aortic valve replacement: a research update].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
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

6 authors.

Matteo MarroDepartment of Surgery Columbia University New York NY.
Alexander P KossarDepartment of Surgery Columbia University New York NY.
Yingfei XueDepartment of Surgery Columbia University New York NY.
Antonio FrascaDepartment of Surgery Columbia University New York NY.
Robert J LevyDepartment of Pediatrics The Children's Hospital of Philadelphia PA.
Giovanni FerrariDepartment of Surgery Columbia University New York NY.

Funding

POSTDOCTORAL TRAINING IN CARDIOVASCULAR DISEASET32HL007854 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Marwah Abdalla, Michael Argenziano · 1996 to 2026
$14.7M
POSTDOCTORAL TRAINING IN ARTERIOSCLEROSIS RESEARCHT32HL007343 · NHLBI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI HENRY N GINSBERG, Muredach P Reilly · 1985 to 2026
$12.7M
Oxidation-mediated structural degeneration of bioprosthetic heart valvesR01HL143008 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI FERRARI, GIOVANNI, LEVY, ROBERT J · 2018 to 2021
$3.2M
Role of RAGE in Bicuspid Aortic Valve SyndromeR01HL122805 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI FERRARI, GIOVANNI · 2016 to 2019
$1.6M
NHLBI NIH HHS R01 HL122805NHLBI NIH HHS R01 HL143008NHLBI NIH HHS T32 HL007343NHLBI NIH HHS T32 HL007854
6 · The paper itself

Abstract

Bioprosthetic heart valves (BHVs) largely circumvent the need for long-term anticoagulation compared with mechanical valves but are increasingly susceptible to deterioration and reduced durability with reoperation rates of ≈10% and 30% at 10 and 15 years, respectively. Structural valve degeneration is a common, unpreventable, and untreatable consequence of BHV implantation and is frequently characterized by leaflet calcification. However, 25% of BHV reoperations attributed to structural valve degeneration occur with minimal leaflet mineralization. This review discusses the noncalcific mechanisms of BHV structural valve degeneration, highlighting the putative roles and pathophysiological relationships between protein infiltration, glycation, oxidative and mechanical stress, and inflammation and the structural consequences for surgical and transcatheter BHVs.

Indexed as

BioprosthesisCalcinosisHeart Valve ProsthesisHumansProsthesis DesignProsthesis FailureRisk FactorsStress, Mechanicalbioprosthesisbioprosthetic heart valvestructural valve degenerationvalve replacement

Identifiers

PMID33494616
PMCPMC7955440

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.