Evidence map›Paper›PMID 34581194›Full record

Trial reportJournal of the American Heart Association2021

Incidence and Outcomes of Infective Endocarditis After Transcatheter or Surgical Aortic Valve Replacement.

Jonas Lanz, Michael J Reardon, Thomas Pilgrim, Stefan Stortecky, G Michael Deeb, Stanley Chetcuti, Steven J Yakubov, Thomas G Gleason, Jian Huang, Stephan Windecker

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Managing Transcatheter Aortic Valve Failure.Structural heart : the journal of the Heart Team · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. What Are SAVR Indications in the TAVI Era?Journal of clinical medicine · 2025
    Review
  13. Review
  14. Mitral valve repair and replacement in infectious endocarditis: a systematic review and meta-analysis of clinical outcome.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Review
  15. Infection of Transcatheter Valvular Devices.Current cardiology reports · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

10 authors at 6 institutions in 2 countries.

Jonas LanzDepartment of Cardiology InselspitalBern University Hospital Bern Switzerland.ORCID 0000-0002-5035-6625
Michael J ReardonMethodist DeBakey Heart & Vascular Center Houston TX.
Thomas PilgrimDepartment of Cardiology InselspitalBern University Hospital Bern Switzerland.ORCID 0000-0001-8721-4068
Stefan StorteckyDepartment of Cardiology InselspitalBern University Hospital Bern Switzerland.ORCID 0000-0002-5076-0177
G Michael DeebUniversity of Michigan Medical Center Ann Arbor MI.
Stanley ChetcutiUniversity of Michigan Medical Center Ann Arbor MI.
Steven J YakubovRiverside Methodist Hospital Columbus OH.
Thomas G GleasonDivision of Cardiac Surgery, Brigham & Women's Hospital & Harvard Medical School Boston MA.ORCID 0000-0001-5858-6073
Jian HuangDepartment of Statistics Medtronic, plc Minneapolis MN.
Stephan WindeckerDepartment of Cardiology InselspitalBern University Hospital Bern Switzerland.ORCID 0000-0003-2653-6762
University Hospital of Bern · CHUniversity of Michigan · USBrigham and Women's Hospital · USHouston Methodist · USMedtronic (United States) · USRiverside Methodist Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Data comparing the frequency and outcomes of infective endocarditis (IE) after transcatheter (TAVR) to surgical aortic valve replacement (SAVR) are scarce. The objective of this study is to compare the incidence and outcomes of IE after TAVR using a supra-annular, self-expanding platform (CoreValve and Evolut) to SAVR. Methods and Results Data of 3 randomized clinical trials comparing TAVR to SAVR and a prospective continued TAVR access study were pooled. IE was defined on the basis of the modified Duke criteria. The cumulative incidence of IE was determined by modeling the cause-specific hazard. Estimates of all-cause mortality were calculated by means of the Kaplan-Meier method. Outcomes are reported for the valve-implant cohort. During a mean follow-up time of 2.17±1.51 years, 12 (0.5%) of 2249 patients undergoing TAVR and 21 (1.1%) of 1828 patients undergoing SAVR developed IE. Patients with IE more frequently had diabetes mellitus than those without (57.6% versus 34.2%;

Indexed as

Aortic Valve StenosisEndocarditisEndocarditis, BacterialHeart Valve ProsthesisHeart Valve Prosthesis ImplantationTranscatheter Aortic Valve ReplacementAortic ValveHumansIncidenceProspective StudiesRisk FactorsTreatment OutcomeendocarditisincidencemortalitySAVRTAVR

Identifiers

PMID34581194
PMCPMC8649131
OpenAlexW3202622348

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.