Evidence map›Paper›PMID 34362230›Full record

ArticleJournal of clinical medicine2021

Transcatheter versus Isolated Surgical Aortic Valve Replacement in Young High-Risk Patients: A Propensity Score-Matched Analysis.

Markus Mach, Thomas Poschner, Waseem Hasan, Tillmann Kerbel, Philipp Szalkiewicz, Ena Hasimbegovic, Martin Andreas, Christoph Gross, Andreas Strouhal, Georg Delle-Karth and 3 more

Abstract 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, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  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

13 authors.

Markus MachDepartment of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-3184-4914
Thomas PoschnerDepartment of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0003-0374-8375
Waseem HasanFaculty of Medicine, Imperial College London, London SW7 2AZ, UK.
Tillmann KerbelDepartment of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, Austria.
Philipp SzalkiewiczDepartment of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, Austria.
Ena HasimbegovicDepartment of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, Austria.
Martin AndreasDepartment of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, Austria.
Christoph GrossDepartment of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0003-1583-5783
Andreas StrouhalDepartment of Cardiology, Hospital Floridsdorf and the Karl Landsteiner Institute for Cardiovascular and Critical Care Research Vienna, 1210 Vienna, Austria.
Georg Delle-KarthDepartment of Cardiology, Hospital Floridsdorf and the Karl Landsteiner Institute for Cardiovascular and Critical Care Research Vienna, 1210 Vienna, Austria.
Martin GrabenwögerDepartment of Cardio-Vascular Surgery, Hospital Floridsdorf and Karl Landsteiner Institute for Cardio-Vascular Research, 1210 Vienna, Austria.
Christopher AdlbrechtDepartment of Cardiology, Hospital Floridsdorf and the Karl Landsteiner Institute for Cardiovascular and Critical Care Research Vienna, 1210 Vienna, Austria.
Andreas SchoberDepartment of Cardiology, Hospital Floridsdorf and the Karl Landsteiner Institute for Cardiovascular and Critical Care Research Vienna, 1210 Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYounger patients with severe symptomatic aortic stenosis are a particularly challenging collective with regard to the choice of intervention. High-risk patients younger than 75 years of age are often eligible for both the transcatheter aortic valve replacement (TAVR) and the isolated surgical aortic valve replacement (iSAVR). Data on the outcomes of both interventions in this set of patients are scarce.

methodsOne hundred and forty-four propensity score-matched patients aged 75 years or less who underwent TAVR or iSAVR at the Hietzing Heart Center in Vienna, Austria, were included in the study. The mean age was 68.9 years (TAVR 68.7 vs. SAVR 67.6 years;

resultsPostprocedural adverse event data showed higher rates of newly acquired atrial fibrillation (6.9% vs. 19.4%;

conclusionAlthough the survival analysis revealed a higher in-hospital and 30-day survival rate for high-risk patients aged ≤75 years who underwent TAVR, iSAVR was associated with a significantly higher long-term survival rate.

Indexed as

aortic stenosisSAVRTAVITAVRyoung

Identifiers

PMID34362230
PMCPMC8346998

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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.