Evidence map›Paper›PMID 33608837›Full record

ArticleGeneral thoracic and cardiovascular surgery2021

Non-pledget commissural suture technique to avoid atrioventricular block.

Shingo Kunioka, Kishu Fujita, Shizuko Iwasa, Hiroyuki Kamiya, Kenji Yamazaki, Hiroyuki Tsukui

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Article in General thoracic and cardiovascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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.

Shingo KuniokaDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, 078-8510, Japan. kyokui090069@gmail.com.ORCID http://orcid.org/0000-0002-7451-5264
Kishu FujitaDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, 078-8510, Japan.
Shizuko IwasaDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, 078-8510, Japan.
Hiroyuki KamiyaDepartment of Cardiac Surgery, Asahikawa Medical University, Hokkaido, Japan.
Kenji YamazakiDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, 078-8510, Japan.
Hiroyuki TsukuiDepartment of Cardiothoracic Surgery, Excela Health Westmoreland Hospital, Greensburg, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Here, we report our unique "non-pledget commissural suture technique" to avoid complete atrioventricular block during surgical aortic valve replacement, whereby all commissural stiches are made in a figure-of-eight fashion without a pledget. Then, standard stiches in a non-everting fashion are made using pledget sutures and a prosthetic valve is implanted at the supra-annular position. Among 152 evaluated patients, only five patients experienced complications, including three left bundle branch blocks, one postoperative pacemaker implantation, and one moderate paravalvular leak. Based on the high success rate, our technique may be a reasonable alternative for surgical aortic valve replacement.

Indexed as

Aortic Valve StenosisAtrioventricular BlockHeart Valve ProsthesisHeart Valve Prosthesis ImplantationPacemaker, ArtificialTranscatheter Aortic Valve ReplacementAortic ValveHumansSuture TechniquesTreatment OutcomeAortic valve replacementHeart blockPermanent pacemaker

Identifiers

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Textmetadata
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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.