Evidence map›Paper›PMID 34918624›Full record

ArticleEuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology2022

Early outcomes of transcatheter mitral valve replacement with the Tendyne system in severe mitral annular calcification.

Mario Gössl, Vinod Thourani, Vasilis Babaliaros, Lenard Conradi, Bassem Chehab, Nicolas Dumonteil, Vinay Badhwar, David Rizik, Benjamin Sun, Richard Bae and 4 more

Registry-linked trialOpen access · greenAbstract readClinical Study
In one paragraph

Article in EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03539458 (Feasibility Study of the Tendyne Mitral Valve System for Use in Subjects With Mitral Annular Calcification), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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.

NCT03539458 nacompletednot on this map

Feasibility Study of the Tendyne Mitral Valve System for Use in Subjects With Mitral Annular Calcification

TypeinterventionalSponsorAbbott Medical DevicesRan2018 to 2024Enrolled11ConditionsMitral Regurgitation, Mitral Insufficiency, Mitral Annular Calcification, Mitral Annulus CalcificationArmsTendyne Mitral Valve System
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Mitral Annular Calcification: Natural History, Prognosis, and Clinical Outcomes.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  10. Review
  11. Mitral Annular Calcification: Understanding the Disease and Treatment Options.Structural heart : the journal of the Heart Team · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Back to the Future: Reviving Old Concepts to Advance Transcatheter Treatment of Calcific Mitral Valve Disease.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  18. Impact and limitations of 3D computational modelling in transcatheter mitral valve replacement-a two-centre Dutch experience.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2024
    Article
  19. Article
  20. Multiple Valvular Heart Disease in the Transcatheter Era: A State-of-the-Art Review.Structural heart : the journal of the Heart Team · 2024
    Review
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

14 authors at 6 institutions in 2 countries.

Mario GösslValve Science Center, Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
Vinod ThouraniDepartment of Cardiovascular Surgery, Marcus Valve Center, Piedmont Heart Institute, Atlanta, GA, USA.
Vasilis BabaliarosEmory Structural Heart and Valve Center, Atlanta, GA, USA.
Lenard ConradiUniversity Heart & Vascular Center Hamburg, Hamburg, Germany.
Bassem ChehabAscension Via Christi Hospital, Wichita, KS, USA.
Nicolas DumonteilGroupe CardioVasculaire Interventionnel, Clinique Pasteur, Toulouse, France.
Vinay BadhwarWest Virginia University Heart and Vascular Institute, Morgantown, WV, USA.
David RizikHonorHealth, Scottsdale, AZ, USA.
Benjamin SunValve Science Center, Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
Richard BaeValve Science Center, Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
Robert GuytonEmory Structural Heart and Valve Center, Atlanta, GA, USA.
Michael ChuangBeth Israel Deaconess Medical Center, Boston, MA, USA.
Philipp BlankeDepartment of Radiology, St. Paul's Hospital and University of British Columbia Vancouver, BC, Canada.
Paul SorajjaValve Science Center, Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
Valve (United States) · USMinneapolis Heart Institute Foundation · USBeth Israel Deaconess Medical Center · USClinique Pasteur · FRHonorHealth · USWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of mitral regurgitation (MR) associated with severe mitral annular calcification (MAC) is challenging due to the high risk of fatal atrioventricular groove disruption and significant paravalvular leak.

aimsThe aim of this study was to evaluate the outcomes of transcatheter mitral valve replacement (TMVR) with the Tendyne valve (Abbott Structural) in patients with MR and MAC.

methodsTwenty patients (mean age 78 years; 11 women) who were treated with the Tendyne valve, either compassionate use (CU; closed) or as part of The Feasibility Study of Tendyne in MAC (NCT03539458), had reported outcomes in a median follow-up duration of 368 days.

resultsIn all patients, a valve was implanted with no procedural mortality and successful hospital discharge. Two embolic events occurred, including one with mesenteric ischaemia and one non-disabling stroke. At 30 days and one year, all-cause mortality occurred in one (5%) and eight patients (40%), respectively. At one year, six patients had been hospitalised for heart failure (30%). There was no prosthetic dysfunction, and MR remained absent in all patients at one year. Clinical improvement, measured by New York Heart Association Functional Class, occurred in 11 of 12 patients who were alive at one year. Among seven survivors with Kansas City Cardiomyopathy Questionnaire (KCCQ) data, mean increase in KCCQ score was 29.9±26.3 at one year with improvement of ≥10 points in five (71.4%) patients.

conclusionsIn patients with MR and severe MAC, TMVR with the Tendyne valve was associated with encouraging acute outcomes, midterm durability, and clinical improvement. Dedicated TMVR therapy may have a future role in these anatomically challenging, high-risk patients.

Indexed as

CalcinosisCardiac CatheterizationHeart Valve DiseasesHeart Valve ProsthesisHeart Valve Prosthesis ImplantationMitral ValveAgedFemaleHumansMaleMitral Valve InsufficiencySeverity of Illness IndexTreatment Outcome

Identifiers

PMID34918624
PMCPMC9896404
OpenAlexW4200436813

What OpenQuestion holds

Textmetadata
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.