Evidence map›Paper›PMID 33925437›Full record

ArticleBioengineering (Basel, Switzerland)2021

CoreValve vs. Sapien 3 Transcatheter Aortic Valve Replacement: A Finite Element Analysis Study.

Francesco Nappi, Laura Mazzocchi, Cristiano Spadaccio, David Attias, Irina Timofeva, Laurent Macron, Adelaide Iervolino, Simone Morganti, Ferdinando Auricchio

Open access · goldAbstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Prognostic implications and predictive factors of subclinical leaflet thrombosis following valve-in-valve transcatheter aortic valve implantation.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Trial
  3. Review
  4. Review
  5. Article
  6. [Structural design and mechanical analysis of a "drum-shaped" balloon-expandable valve stent in expanded configuration].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Biomechanics of Transcatheter Aortic Valve Implant.Bioengineering (Basel, Switzerland) · 2022
    Review
  18. Review
  19. 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

9 authors at 4 institutions in 3 countries.

Francesco NappiDepartment of Cardiac Surgery, Centre Cardiologique du Nord, 93200 Saint Denis, France.ORCID 0000-0002-9705-5360
Laura MazzocchiDepartment of Civil Engineering and Architecture, University of Pavia, 27100 Pavia, Italy.
Cristiano SpadaccioInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow G12 8QQ, UK.
David AttiasDepartment of Cardiology, Centre Cardiologique du Nord, 93200 Saint Denis, France.
Irina TimofevaDepartment of Imaging, Centre Cardiologique du Nord, 93200 Saint Denis, France.
Laurent MacronDepartment of Imaging, Centre Cardiologique du Nord, 93200 Saint Denis, France.
Adelaide IervolinoDepartment of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCSS, 00168 Rome, Italy.ORCID 0000-0002-3208-4689
Simone MorgantiDepartment of Electrical, Computer, and Biomedical Engineering, University of Pavia, 27100 Pavia, Italy.
Ferdinando AuricchioDepartment of Civil Engineering and Architecture, University of Pavia, 27100 Pavia, Italy.
Centre Cardiologique du Nord · FRUniversity of Pavia · ITAgostino Gemelli University Polyclinic · ITUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimto investigate the factors implied in the development of postoperative complications in both self-expandable and balloon-expandable transcatheter heart valves by means of finite element analysis (FEA). MATERIALS AND

methodsFEA was integrated into CT scans to investigate two cases of postoperative device failure for valve thrombosis after the successful implantation of a CoreValve and a Sapien 3 valve. Data were then compared with two patients who had undergone uncomplicated transcatheter heart valve replacement (TAVR) with the same types of valves.

resultsComputational biomechanical modeling showed calcifications persisting after device expansion, not visible on the CT scan. These calcifications determined geometrical distortion and elliptical deformation of the valve predisposing to hemodynamic disturbances and potential thrombosis. Increased regional stress was also identified in correspondence to the areas of distortion with the associated paravalvular leak.

conclusionthe use of FEA as an adjunct to preoperative imaging might assist patient selection and procedure planning as well as help in the detection and prevention of TAVR complications.

Indexed as

cardiac tissue-engineered valvescomputerized angiography tomographyfinite element analysistranscatheter aortic valve replacementtranscatheter heart valve thrombosis

Identifiers

PMID33925437
PMCPMC8146716
OpenAlexW3158652154

What OpenQuestion holds

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LicenceCC BY
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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.