Evidence map›Paper›PMID 35915181›Full record

Trial reportNeuroradiology2022

Microstructural alterations measured by diffusion tensor imaging following transcatheter aortic valve replacement and their association with cerebral ischemic injury and cognitive function - a prospective study.

Andrea Varga, Gyula Gyebnár, Ferenc Imre Suhai, Anikó Ilona Nagy, Lajos Rudolf Kozák, Csenge Ágnes Póka, Mirjam Franciska Turáni, Sarolta Borzsák, Astrid Apor, Andrea Bartykowszki and 4 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02826200 (Rule Out Transcatheter Aortic Valve Thrombosis With Post Implantation Computed Tomography), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% 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.

NCT02826200 phase4unknown statusnot on this map

Rule Out Transcatheter Aortic Valve Thrombosis With Post Implantation Computed Tomography

TypeinterventionalSponsorSemmelweis University Heart and Vascular CenterRan2016 to 2019Enrolled200ConditionsProsthetic Cardiac Valve Thrombosis, Cerebrovascular Accident, Prosthetic Valve MalfunctionArmsAcenocoumarol, Standard of care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

14 authors at 2 institutions in 1 country.

Andrea VargaDepartment of Diagnostic Radiology, Heart and Vascular Centre, Semmelweis University, Budapest, Hungary. varga.andrea.bandi@gmail.com.ORCID http://orcid.org/0000-0002-9747-8419
Gyula GyebnárMedical Imaging Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0003-4411-2330
Ferenc Imre SuhaiDepartment of Diagnostic Radiology, Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0002-5268-3873
Anikó Ilona NagyDepartment of Cardiology, Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0002-0519-5172
Lajos Rudolf KozákMedical Imaging Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0003-0368-3663
Csenge Ágnes PókaMedical Imaging Centre, Semmelweis University, Budapest, Hungary.
Mirjam Franciska TurániDepartment of Cardiology, Medical Centre - Hungarian Defence Forces, Budapest, Hungary.
Sarolta BorzsákDepartment of Diagnostic Radiology, Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0003-1578-3354
Astrid AporDepartment of Cardiology, Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0002-9132-0979
Andrea BartykowszkiDepartment of Cardiology, Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0003-2102-6771
Bálint SzilveszterDepartment of Cardiology, Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0003-1530-4288
Márton KolossváryMTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0002-5570-991X
Pál Maurovich-Horvat *Medical Imaging Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0003-0885-736X
Béla Merkely *Department of Cardiology, Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0001-6514-0723
Semmelweis University · HUZrínyi Miklós National Defence University · HU

Funding

National Research, Development and Innovation Office NVKP-16-1-2016-0017
6 · The paper itself

Abstract

purposeWe assessed diffusion tensor imaging (DTI) metric changes of the corpus callosum and cingulum correlated to postprocedural ischemic lesion load (ILL) and cognitive performance in transcatheter aortic valve replacement (TAVR).

methodsTAVR subjects had DTI post-TAVR (≤ 8 days) and at 6 months (78 participants, males 56%, age 78.8 years ± 6.3) and four neurocognitive tests (pre-TAVR, post-TAVR, 6 months, 1 year). DTI metrics (fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), radial diffusivity (RD)) were calculated for 7 regions: corpus callosum (genu, body, splenium) and cingulum (cingulate gyrus, parahippocampal cingulum bilaterally). DTI metrics post-TAVR and at 6 months were compared with Student's t-test (p < 0.0071) and ANOVA covarying for sex, ILL (p < 0.05) with post hoc analysis of ILL groups (p < 0.0167). Repeated-measures linear mixed-effect model (p < 0.05) was performed to investigate the effect of time and ILL on cognition.

resultsAt 6 months, significant decrease of the following DTI metrics was detected: AD (genu, body, splenium, right parahippocampal cingulum: p ≤ 0.0046); MD (body, both cingulate gyri: p ≤ 0.0050); RD (left cingulate gyrus: p = 0.0021); FA (splenium: p < 0.0001). ANOVA confirmed significant effect of female sex on AD + MD reduction (body, right cingulate gyrus) and AD reduction (left cingulate gyrus) (p ≤ 0.0254). Significant negative effect of ILL on some DTI metric changes was found (AD + MD-body: p ≤ 0.0050; MD-left cingulate gyrus: p = 0.0087). Cognitive performance remained stable with significant negative correlation of ILL and retrograde memory and visual scores (p ≤ 0.0483).

conclusionSignificant effect of TAVR on cerebral microstructural integrity was found with reduced diffusivities opposite to the trends reported in various neurodegenerative conditions/ageing, notably in women and lower ILL, and with preserved/improved cognition. TRIAL REGISTRATION NUMBER: NCT02826200 at ClinicalTrials.gov; date of registration: 07. July 2016.

Indexed as

Brain InjuriesTranscatheter Aortic Valve ReplacementWhite MatterAgedCognitionDiffusion Tensor ImagingFemaleHumansMaleProspective StudiesCognitive functionDTI (diffusion tensor imaging)MRITAVR (transcatheter aortic valve replacement)

Identifiers

PMID35915181
PMCPMC9643192
OpenAlexW4289262157

What OpenQuestion holds

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LicenceCC BY
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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.