Evidence map›Paper›PMID 34667398›Full record

ArticleAnnals of pediatric cardiology

Outcomes of Venus P-valve for dysfunctional right ventricular outflow tracts from Indian Venus P-valve database.

Kothandam Sivakumar, Pramod Sagar, Shakeel Qureshi, Worakan Promphan, Bijulal Sasidharan, Neeraj Awasthy, Mahesh Kappanayil, Pujar Venkatesh Suresh, Nageswara Rao Koneti

Open access · diamondAbstract read
In one paragraph

Article in Annals of pediatric cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Image-Derived Modeling to Assess Coronary Proximity in Patients Undergoing Transcatheter Pulmonary Valve Replacement With Self-Expanding Valves.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Holography-guided procedural planning for modifying VenusFrontiers in cardiovascular medicine · 2024
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Annals of pediatric cardiology
    Article
  17. Article
  18. Article
  19. Pediatric cardiology: Is India self-reliant?Annals of pediatric cardiology
    Article
  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

9 authors at 8 institutions in 3 countries.

Kothandam SivakumarDepartment of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India.
Pramod SagarDepartment of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India.
Shakeel QureshiDepartment of Pediatric Cardiology, Evelina London Children's Hospital, Guy's and St. Thomas' NHS, London, UK.
Worakan PromphanDepartment of Pediatric Cardiology, Queen Sirikit National Institute of Child Health, Bangkok, Thailand.
Bijulal SasidharanDepartment of Pediatric Cardiology, Sree Chitra Tirunal Institute, Thiruvananthapuram, Kerala, India.
Neeraj AwasthyDepartment of Pediatric Cardiology, Max Super Specialty Hospital, Delhi, India.
Mahesh KappanayilDepartment of Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Pujar Venkatesh SureshDepartment of Pediatric Cardiology, Narayana Hrudayalaya, Bengaluru, Karnataka, India.
Nageswara Rao KonetiDepartment of Pediatric Cardiology,Care Hospital, Hyderabad, Telangana, India.
Madras Medical Mission · INAmrita Institute of Medical Sciences and Research Centre · INCARE Hospitals · INEvelina London Children's Healthcare · GBMax Super Speciality Hospital · INNarayana Health · INQueen Sirikit National Institute of Child Health · THSree Chitra Thirunal Institute for Medical Sciences and Technology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBalloon-expandable pulmonary valves are usually not suitable for dilated native outflow tracts.

methodsIndian Venus P-valve registry was retrospectively analyzed for efficacy, complications, and midterm outcomes. Straight valve was used in prestented conduits in patients with right ventricular pressure above two-thirds systemic pressure and/or right ventricular dysfunction. Flared valve 1-4 mm larger than balloon waist was used in native outflow in symptomatic patients, large ventricular volumes, and ventricular dysfunction.

objectivesA self-expanding porcine pericardial Venus P-valve is available in straight and flared designs..

resultsTwenty-nine patients were included. Straight valve was successful in all seven conduits, reducing gradients significantly, including one patient with left pulmonary artery (LPA) stent. Flared valve was successfully implanted in 20 out of 22 native outflow tracts. Sharp edges of the older design contributed to two failures. Complications included two migrations with one needing surgery, endocarditis in one, insignificant wire-frame fractures in three, and groin vascular complication in one patient. There were no deaths or valve-related reinterventions at a mean follow-up of 47.8 ± 24.5 months (1-85 months). Modifications of technique succeeded in three patients with narrow LPA. There was significant improvement in symptoms, right ventricular volume, and pulmonary regurgitant fraction.

conclusionStraight and flared Venus P-valves are safe and effective in appropriate outflow tracts. Straight valve is an alternative to balloon-expandable valves in stenosed conduits. Flared valve is suitable for large outflows up to 34 mm, including patients with LPA stenosis. Recent design modifications may correct previous technical failures. Studies should focus on durability and late complications.

Indexed as

Balloon sizinginfective endocarditisleft pulmonary artery stenosispercutaneous pulmonary valve implantationself-expanding valvevalve migration

Identifiers

PMID34667398
PMCPMC8457277
OpenAlexW3196255457

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.