Evidence map›Paper›PMID 34179981›Full record

Trial reportEuropean heart journal2021

Eight-year outcomes for patients with aortic valve stenosis at low surgical risk randomized to transcatheter vs. surgical aortic valve replacement.

Troels Højsgaard Jørgensen, Hans Gustav Hørsted Thyregod, Nikolaj Ihlemann, Henrik Nissen, Petur Petursson, Bo Juel Kjeldsen, Daniel Andreas Steinbrüchel, Peter Skov Olsen, Lars Søndergaard

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European heart journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01057173 (Transcatheter Versus Surgical Aortic Valve Implantation in Patients With Severe Aortic Valve Stenosis), which is not on this map. Cited by 125 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 7 pooled it
35.0field-weighted citation impact, top 1% 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.

NCT01057173 naactive not recruitingnot on this map

Transcatheter Versus Surgical Aortic Valve Implantation in Patients With Severe Aortic Valve Stenosis

TypeinterventionalSponsorRigshospitalet, DenmarkRan2009 to 2033Enrolled280ConditionsCritical Aortic StenosisArmsTranscatheter Aortic Valve Implantation, Surgical Aortic Valve Replacement
3 · Its place in the literature

Who cites it

125 citing papers in PubMed, 7 syntheses or guidelines pooled it, 279 citations in OpenAlex.

  1. Pooled it
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  12. Lifetime management of patients with symptomatic severe aortic stenosis: a computed tomography simulation study.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Trial
  13. Review
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  15. Time- and dose-dependent high-sensitivity cardiac troponin-T to improve outcome prediction after TAVI: a multicenter cohort study.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
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  17. Long-Term Outcomes of a Self-Expanding Transcatheter Heart Valve.Structural heart : the journal of the Heart Team · 2026
    Article
  18. Review
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  20. Article

65 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Troels Højsgaard JørgensenDepartment of Cardiology, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, Copenhagen 2100, Denmark.
Hans Gustav Hørsted ThyregodDepartment of Cardiothoracic Surgery, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, Copenhagen 2100, Denmark.
Nikolaj IhlemannDepartment of Cardiology, Odense University Hospital, J. B. Winsløws Vej 4, 5000 Odense, Denmark.
Henrik NissenDepartment of Cardiology, Odense University Hospital, J. B. Winsløws Vej 4, 5000 Odense, Denmark.ORCID 0000-0002-0842-3644
Petur PeturssonDepartment of Cardiology, Sahlgrenska University Hospital, Blå stråket 5, 413 45 Gothenburg, Sweden.
Bo Juel KjeldsenDepartment of Cardiothoracic and Vascular Surgery, Odense University Hospital, J. B. Winsløws Vej 4, 5000 Odense, Denmark.
Daniel Andreas SteinbrüchelDepartment of Medicine, Nykoebing F Hospital and University of Southern Denmark, J. B. Winsløws Vej 4, 5000 Odense, Denmark.
Peter Skov OlsenDepartment of Cardiothoracic Surgery, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, Copenhagen 2100, Denmark.
Lars SøndergaardDepartment of Cardiology, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, Copenhagen 2100, Denmark.
Copenhagen University Hospital · DKOdense University Hospital · DKSahlgrenska University Hospital · SEUniversity of Southern Denmark · DK

Funding

MITRAL VALVE REPLACEMENT IN PATIENTS WITH IHSSZ01HL002733 · NHLBI · HEART, LUNG, AND BLOOD INSTITUTE · PI MCINTOSH, C L · 1985 to 1988
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6 · The paper itself

Abstract

aimsThe aims of the study were to compare clinical outcomes and valve durability after 8 years of follow-up in patients with symptomatic severe aortic valve stenosis at low surgical risk treated with either transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement (SAVR). METHODS AND

resultsIn the NOTION trial, patients with symptomatic severe aortic valve stenosis were randomized to TAVI or SAVR. Clinical status, echocardiography, structural valve deterioration, and failure were assessed using standardized definitions. In total, 280 patients were randomized to TAVI (n = 145) or SAVR (n = 135). Baseline characteristics were similar, including mean age of 79.1 ± 4.8 years and a mean STS score of 3.0 ± 1.7%. At 8-year follow-up, the estimated risk of the composite outcome of all-cause mortality, stroke, or myocardial infarction was 54.5% after TAVI and 54.8% after SAVR (P = 0.94). The estimated risks for all-cause mortality (51.8% vs. 52.6%; P = 0.90), stroke (8.3% vs. 9.1%; P = 0.90), or myocardial infarction (6.2% vs. 3.8%; P = 0.33) were similar after TAVI and SAVR. The risk of structural valve deterioration was lower after TAVI than after SAVR (13.9% vs. 28.3%; P = 0.0017), whereas the risk of bioprosthetic valve failure was similar (8.7% vs. 10.5%; P = 0.61).

conclusionsIn patients with severe aortic valve stenosis at low surgical risk randomized to TAVI or SAVR, there were no significant differences in the risk for all-cause mortality, stroke, or myocardial infarction, as well as the risk of bioprosthetic valve failure after 8 years of follow-up. CLINICAL

trial registrationURL: http://www.ClinicalTrials.gov. Unique identifier: NCT01057173.

Indexed as

Aortic Valve StenosisHeart Valve Prosthesis ImplantationTranscatheter Aortic Valve ReplacementAgedAged, 80 and overAortic ValveHumansRisk FactorsTreatment OutcomeBioprosthetic aortic valve durabilityMortalityStrokeSurgical aortic valve replacementTranscatheter aortic valve implantation

Identifiers

PMID34179981
PMCPMC8347457
OpenAlexW3177278730

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.