Evidence map›Paper›PMID 33860685›Full record

SynthesisJournal of the American Heart Association2021

Aspirin Alone Versus Dual Antiplatelet Therapy After Transcatheter Aortic Valve Implantation: A Systematic Review and Patient-Level Meta-Analysis.

Jorn Brouwer, Vincent J Nijenhuis, Josep Rodés-Cabau, Eugenio Stabile, Marco Barbanti, Giuliano Costa, Bakhtawar K Mahmoodi, Jurrien M Ten Berg

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Antithrombotic therapy for transcatheter structural heart intervention.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Review
  5. Review
  6. Article
  7. Review
  8. Antithrombotic Therapy After Transcatheter Aortic Valve Replacement: An Overview.Structural heart : the journal of the Heart Team · 2022
    Review
  9. 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 3 countries.

Jorn BrouwerDepartment of Cardiology St. Antonius Hospital Nieuwegein The Netherlands.
Vincent J NijenhuisDepartment of Cardiology St. Antonius Hospital Nieuwegein The Netherlands.
Josep Rodés-CabauDepartment of Cardiology Quebec Heart & Lung Institute Laval University Quebec City Quebec Canada.
Eugenio StabileDepartment of Advanced Biomedical Sciences University "Federico II" Naples Italy.
Marco BarbantiDepartment of Cardiology A.O.U. Policlinico "G. Rodolico - San Marco" Catania Italy.
Giuliano CostaDepartment of Cardiology A.O.U. Policlinico "G. Rodolico - San Marco" Catania Italy.
Bakhtawar K MahmoodiDepartment of Cardiology St. Antonius Hospital Nieuwegein The Netherlands.
Jurrien M Ten BergDepartment of Cardiology St. Antonius Hospital Nieuwegein The Netherlands.
St. Antonius Ziekenhuis · NLPoliclinico Universitario di Catania · ITFederico II University Hospital · ITMaastricht University · NLUniversité Laval · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background In patients undergoing transcatheter aortic valve implantation without an indication for oral anticoagulation, it is unclear whether single or dual antiplatelet therapy (DAPT) is necessary to minimize both the bleeding and thromboembolic risk. In this patient-level meta-analysis, we further investigate the effect of aspirin alone compared with DAPT for preventing both thromboembolic and bleeding events after transcatheter aortic valve implantation. Methods and Results We conducted a systematic review of all available randomized controlled trials comparing aspirin with DAPT. In total, 1086 patients were included across 4 eligible trials. The primary outcomes were the composite of all-cause mortality, major or life-threatening bleeding, stroke or myocardial infarction (first composite outcome), and the same composite excluding bleeding (second composite outcome), both tested at 30 days and 3 months. The first composite outcome occurred significantly less in the aspirin-alone group at 30 days (10.3% versus 14.7%, odds ratio [OR], 0.67; 95% CI, 0.46-0.97,

Indexed as

Aortic Valve StenosisAspirinDual Anti-Platelet TherapyHumansPlatelet Aggregation InhibitorsThrombosisTranscatheter Aortic Valve ReplacementAspirinPlatelet Aggregation Inhibitorsaspirindual antiplatelet therapytranscatheter aortic valve implantation

Identifiers

PMID33860685
PMCPMC8174170
OpenAlexW3156095318

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.