Evidence map›Paper›PMID 35770326›Full record

SynthesisESC heart failure2022

Edge-to-edge percutaneous mitral repair for functional ischaemic and non-ischaemic mitral regurgitation: a systematic review and meta-analysis.

Mauro Chiarito, Jorge Sanz-Sanchez, Michele Pighi, Francesco Cannata, Antonio Popolo Rubbio, Andrea Munafò, Davide Cao, Fausto Roccasalva, Daniela Pini, Paolo A Pagnotta and 10 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. 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

20 authors at 10 institutions in 3 countries.

Mauro ChiaritoDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Jorge Sanz-SanchezHospital Universitari i Politecnic La Fe, Valencia, Spain.
Michele PighiDivision of Cardiology, Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy.
Francesco CannataDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Antonio Popolo RubbioCardiology Division, CAST Policlinico Hospital, University of Catania, Catania, Italy.
Andrea MunafòCardiology Unit, San Raffaele Scientific Institute, Milan, Italy.
Davide CaoThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, USA.
Fausto RoccasalvaDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Daniela PiniDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Paolo A PagnottaDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Federica EttoriCardiothoracic Department, Spedali Civili, Brescia, Italy.
Anna Sonia PetronioAzienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Corrado TamburinoCardiology Division, CAST Policlinico Hospital, University of Catania, Catania, Italy.
Bernhard ReimersDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Antonio ColomboGVM Care and Research, Maria Cecilia Hospital, Ravenna, Italy.
Carlo Di MarioStructural Interventional Cardiology, Careggi University Hospital, Florence, Italy.
Carmelo GrassoCardiology Division, CAST Policlinico Hospital, University of Catania, Catania, Italy.
Roxana MehranThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, USA.
Cosmo GodinoCardiology Unit, San Raffaele Scientific Institute, Milan, Italy.
Giulio G StefaniniDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID 0000-0002-3558-6967
Humanitas University · ITUniversity of Catania · ITCardiovascular Institute of the South · USSan Raffaele University of Rome · ITAzienda Ospedaliera Universitaria Integrata Verona · ITAzienda Ospedaliera Universitaria Pisana · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITEMO GVM Centro Cuore Columbus · ITHospital Universitari i Politècnic La Fe · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimRandomized controlled trials comparing the use of the MitraClip device in addition to guideline directed medical therapy (GDMT) to GDMT alone in patients with secondary mitral regurgitation (MR) have shown conflicting results. However, if these differences could be due to the underlying MR aetiology is still unknown. Therefore, we aimed to evaluate if the effects of percutaneous edge-to-edge repair with MitraClip implantation could differ in patients with ischaemic (I-MR) and non-ischaemic mitral regurgitation (NI-MR). METHODS AND

resultsPubMed, Embase, BioMed Central, and the Cochrane Central Register of Controlled Trials were searched for all studies including patients with secondary MR treated with the MitraClip device. Data were pooled using a random-effects model. Primary endpoint was the composite of all-cause death and heart failure-related hospitalization. Secondary endpoints were the single components of the primary endpoint, New York Heart Association functional Classes III and IV, and mitral valve re-intervention. Seven studies enrolling 2501 patients were included. Patients with I-MR compared with patients with NI-MR had a similar risk of the primary endpoint (odds ratio: 1.17; 95% confidence interval: 0.93 to 1.46; I

conclusionsThe risk of mortality after MitraClip implantation is lower in patients with NI-MR than in those with I-MR. No absolute differences in the risk of heart failure related hospitalization were observed between groups.

Indexed as

Heart FailureHeart Valve Prosthesis ImplantationMitral Valve InsufficiencyHumansMitral ValveTreatment OutcomeHeart failureMitraClipPercutaneous edge-to-edge repairSecondary mitral regurgitation

Identifiers

PMID35770326
PMCPMC9715840
OpenAlexW4283737603

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.