Evidence map›Paper›PMID 33925582›Full record

ArticleJournal of clinical medicine2021

Real World Performance Evaluation of Transcatheter Aortic Valve Implantation.

Gabriele Pesarini, Gabriele Venturi, Domenico Tavella, Leonardo Gottin, Mattia Lunardi, Elena Mirandola, Francesco Onorati, Giuseppe Faggian, Flavio Ribichini

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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  5. 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 1 institution in 1 country.

Gabriele PesariniDivision of Cardiology, Department of Medicine, University of Verona, 37126 Verona, Italy.
Gabriele VenturiDivision of Cardiology, Department of Medicine, University of Verona, 37126 Verona, Italy.
Domenico TavellaDivision of Cardiology, Department of Medicine, University of Verona, 37126 Verona, Italy.
Leonardo GottinDivision of Anaesthesiology, University of Verona, 37126 Verona, Italy.
Mattia LunardiDivision of Cardiology, Department of Medicine, University of Verona, 37126 Verona, Italy.
Elena MirandolaDivision of Cardiology, Department of Medicine, University of Verona, 37126 Verona, Italy.
Francesco OnoratiDivision of Cardiac Surgery, University of Verona, 37126 Verona, Italy.
Giuseppe FaggianDivision of Cardiac Surgery, University of Verona, 37126 Verona, Italy.
Flavio RibichiniDivision of Cardiology, Department of Medicine, University of Verona, 37126 Verona, Italy.
University of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this research is to describe the performance over time of transcatheter aortic valve implantations (TAVIs) in a high-volume center with a contemporary, real-world population.

methodsPatients referred for TAVIs at the University Hospital of Verona were prospectively enrolled. By cumulative sum failures analysis (CUSUM), procedural-control curves for standardized combined endpoints-as defined by the Valve Academic Research Consortium-2 (VARC-2)-were calculated and analyzed over time. Acceptable and unacceptable limits were derived from recent studies on TAVI in intermediate and low-risk patients to fit the higher required standards for current indications.

resultsA total of 910 patients were included. Baseline risk scores significantly reduced over time. Complete procedural control was obtained after approximately 125 and 190 cases for device success and early safety standardized combined endpoints, respectively. High risk patients (STS ≥ 8) had poorer outcomes, especially in terms of VARC-2 clinical efficacy, and required a higher case load to maintain in-control and proficient procedures. Clinically relevant single endpoints were all influenced by operator's experience as well.

conclusionsQuality-control analysis for contemporary TAVI interventions based on standardized endpoints suggests the need for relevant operator's experience to achieve and maintain optimal clinical results, especially in higher-risk subjects.

Indexed as

aortic valve stenosisCUSUMlearning curvesquality-controltrans-catheter aortic valve implantation

Identifiers

PMID33925582
PMCPMC8123878
OpenAlexW3157174300

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.