Evidence map›Paper›PMID 35628919›Full record

ReviewJournal of clinical medicine2022

Simplified TAVR Procedure: How Far Is It Possible to Go?

Florence Leclercq, Pierre Alain Meunier, Thomas Gandet, Jean-Christophe Macia, Delphine Delseny, Philippe Gaudard, Marc Mourad, Laurent Schmutz, Pierre Robert, François Roubille and 2 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

12 authors.

Florence LeclercqDepartment of Cardiology, Montpellier University Hospital, 34295 Montpellier, France.
Pierre Alain MeunierDepartment of Cardiology, Montpellier University Hospital, 34295 Montpellier, France.
Thomas GandetDepartment of Anesthesiology and Critical Care Medicine, Montpellier University Hospital, 34295 Montpellier, France.
Jean-Christophe MaciaDepartment of Cardiology, Montpellier University Hospital, 34295 Montpellier, France.
Delphine DelsenyDepartment of Cardiology, Montpellier University Hospital, 34295 Montpellier, France.
Philippe GaudardDepartment of Anesthesiology and Critical Care Medicine, Montpellier University Hospital, 34295 Montpellier, France.ORCID 0000-0003-1192-8704
Marc MouradDepartment of Anesthesiology and Critical Care Medicine, Montpellier University Hospital, 34295 Montpellier, France.
Laurent SchmutzDepartment of Cardiology, CHU Nimes, Nimes University Hopstal, 30029 Nimes, France.
Pierre RobertDepartment of Cardiology, CHU Nimes, Nimes University Hopstal, 30029 Nimes, France.
François RoubilleDepartment of Cardiology, Montpellier University Hospital, 34295 Montpellier, France.ORCID 0000-0002-5288-9687
Guillaume CaylaDepartment of Cardiology, CHU Nimes, Nimes University Hopstal, 30029 Nimes, France.
Mariama AkodadDepartment of Cardiology, Montpellier University Hospital, 34295 Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increasing operators' experience and improvement of the technique have resulted in a drastic reduction in complications following transcatheter aortic valve replacement (TAVR) in patients with lower surgical risk. In parallel, the procedure was considerably simplified, with a routine default approach including local anesthesia in the catheterization laboratory, percutaneous femoral approach, radial artery as the secondary access, prosthesis implantation without predilatation, left ventricle wire pacing and early discharge. Thus, the "simplified" TAVR adopted in most centers nowadays is a real revolution of the technique. However, simplified TAVR must be accompanied upstream by a rigorous selection of patients who can benefit from a minimalist procedure in order to guarantee its safety. The minimalist strategy must not become dogmatic and careful pre-, per- and post-procedural evaluation of patients with well-defined protocols guarantee optimal care following TAVR. This review aims to evaluate the benefits and limits of the simplified TAVR procedure in a current and future vision.

Indexed as

simplificationtailored approachTAVR

Identifiers

PMID35628919
PMCPMC9145302

What OpenQuestion holds

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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.