Evidence map›Paper›PMID 34505192›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2021

Safety and efficacy of minimalist transcatheter aortic valve implantation using a new-generation balloon-expandable transcatheter heart valve in bicuspid and tricuspid aortic valves.

Jonathan M Michel, Antonio H Frangieh, Daniele Giacoppo, Hector A Alvarez-Covarrubias, Costanza Pellegrini, Tobias Rheude, Oliver Deutsch, N Patrick Mayr, P Moritz Rumpf, Barbara E Stähli and 5 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Editorial: Reviews in transcatheter aortic valve implantation.Frontiers in cardiovascular medicine · 2025
    Article
  7. Transcarotid TAVR for Severe Bicuspid Aortic Stenosis With Virtually Atretic Coarctation of the Thoracic Aorta.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  8. 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

15 authors at 5 institutions in 6 countries.

Jonathan M Michel *German Heart Centre Munich, Technical University Munich, Munich, Germany.
Antonio H Frangieh *German Heart Centre Munich, Technical University Munich, Munich, Germany.
Daniele GiacoppoGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
Hector A Alvarez-CovarrubiasGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
Costanza PellegriniGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
Tobias RheudeGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
Oliver DeutschGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
N Patrick MayrGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
P Moritz RumpfGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
Barbara E StähliDepartment of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
Adnan KastratiGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
Heribert SchunkertGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
Erion XhepaGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
Michael JonerGerman Heart Centre Munich, Technical University Munich, Munich, Germany.
A Markus KaselGerman Heart Centre Munich, Technical University Munich, Munich, Germany. markus_kasel@web.de.
Deutsches Herzzentrum München · DEUniversity Hospital of Zurich · CHGerman Centre for Cardiovascular Research · DEMexican Social Security Institute · MXUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBicuspid aortic valve may be associated with increased complications during transcatheter aortic valve implantation (TAVI).

aimsCompare balloon-expandable transcatheter heart valve (THV) safety and efficacy in severe tricuspid (TAV) and bicuspid (BAV) aortic stenosis.

methodsTransfemoral TAVI was performed in 743 patients (Jan 2014-June 2019) using the SAPIEN 3 THV. Aortic valve morphology was determined using computed tomography. Valve Academic Research Consortium-2 (VARC-2) derived safety and efficacy endpoints at 1 year were evaluated.

resultsBAV patients (n = 78), were younger (77 [72, 81] vs. 81 [78, 85] years, p < 0.001) with lower surgical risk (EuroSCORE II 2.96% vs. 4.51% p < 0.001). Bicuspid valves were more calcified (BAV 1308mm

conclusionsSafety and efficacy of the SAPIEN 3 balloon-expandable THV in BAV is comparable with TAV. Higher rates of bioprosthetic valve thrombosis require further investigation.

Indexed as

Heart Valve ProsthesisAgedAged, 80 and overAortic ValveAortic Valve StenosisFemaleFollow-Up StudiesHumansMaleMultidetector Computed TomographyProsthesis DesignRetrospective StudiesTime FactorsTranscatheter Aortic Valve ReplacementTreatment OutcomeTricuspid ValveAortic stenosisBalloon-expandableBicuspidTranscatheter aortic valve implantationTricuspid

Identifiers

PMID34505192
OpenAlexW3197263354

What OpenQuestion holds

Textmetadata
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.