Evidence map›Paper›PMID 35425645›Full record

ArticleCase reports in cardiology2022

Successful Treatment of Severe Paravalvular Leak by Repositioning a Self-Expandable Percutaneous Aortic Valve Bioprosthesis (Evolut PRO+) Using the "Double Snare" Technique.

Diego H González-Bravo, Pedro Colón-Hernández, Melanie Quintana-Serrano, Sergio Alegre-Boschetti, Juan Vázquez-Fuster, José J Acevedo-Valles, Eric Avilés-Rivera

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Aortic valve disorders and left ventricular assist devices.Frontiers in cardiovascular medicine · 2023
    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

7 authors at 1 institution in 1 country.

Diego H González-BravoCardiovascular Division, Department of Medicine, VA Caribbean Healthcare System, San Juan, Puerto Rico, USA.ORCID https://orcid.org/0000-0002-7662-9994
Pedro Colón-HernándezCardiovascular Center, Menonita Medical Center, Cayey, Puerto Rico, USA.
Melanie Quintana-SerranoCardiovascular Division, Department of Medicine, VA Caribbean Healthcare System, San Juan, Puerto Rico, USA.
Sergio Alegre-BoschettiCardiovascular Division, Department of Medicine, VA Caribbean Healthcare System, San Juan, Puerto Rico, USA.
Juan Vázquez-FusterCardiovascular Division, Department of Medicine, VA Caribbean Healthcare System, San Juan, Puerto Rico, USA.
José J Acevedo-VallesCardiovascular Division, Department of Medicine, VA Caribbean Healthcare System, San Juan, Puerto Rico, USA.
Eric Avilés-RiveraCardiovascular Division, Department of Medicine, VA Caribbean Healthcare System, San Juan, Puerto Rico, USA.ORCID https://orcid.org/0000-0002-8344-7697
VA Caribbean Healthcare System · PR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Significant (moderate or severe) paravalvular leak (PVL) after transcatheter aortic valve replacement (TAVR) remains a common phenomenon and has been associated with decrease survival and quality of life. Transcatheter valve embolization and migration (TVEM) is a rare post-TAVR complication that can occur in 1% of cases and has been associated with worse patient outcomes. Valve embolization or migration into the left ventricle can result in significant PVL causing hemodynamic instability, shock, heart failure, and hemolytic anemia. Although this complication most commonly occurs in the acute setting (90%) within 4 hours of TAVR, it can also present late (4 hr-43 days later) in 10% of cases. There are no clear guidelines as to how this condition should be managed; however, several percutaneous bailout techniques exist that can ultimately spare the patient from emergent cardiovascular surgery. We present a rare case of late ventricular transcatheter aortic valve migration 3 days after TAVR causing severe PVL and heart failure symptoms that was successfully treated using the percutaneous "double snare" technique.

Identifiers

PMID35425645
PMCPMC9005318
OpenAlexW4226371330

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.