Evidence map›Paper›PMID 35926961›Full record

Trial reportOpen heart2022

Bioprosthesis in aortic valve replacement: long-term inflammatory response and functionality.

Huitzilihuitl Saucedo-Orozco, Jesus Vargas-Barron, Ricardo Márquez-Velazco, Julio Iván Farjat-Pasos, Karla Susana Martinez-Zavala, Valentin Jiménez-Rojas, Sergio Andres Criales-Vera, Jose Antonio Arias-Godínez, Giovanni Fuentevilla-Alvarez, Veronica Guarner-Lans and 4 more

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

Trial report in Open heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04557345 (Evaluation of the Inflammatory Response and Long-term Calcification in Post-operated Aortic Valve Replacement Patients.), 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
0.2field-weighted citation impact, top 49% 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.

NCT04557345 completednot on this map

Evaluation of the Inflammatory Response and Long-term Calcification in Post-operated Aortic Valve Replacement Patients.

TypeobservationalSponsorInstituto Nacional de Cardiologia Ignacio ChavezRan1990 to 2020Enrolled80ConditionsAortic Valve Disease, Aortic Valve Stenosis, Aortic Valve Calcification, Prosthetic Valve MalfunctionArmsDetermination of cytokines, Two-dimensional transthoracic echocardiogram
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Histopathology reveals concealed aortic valve inflammation.Journal of cardiothoracic surgery · 2024
    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 4 institutions in 1 country.

Huitzilihuitl Saucedo-OrozcoCardioneumology, Instituto Nacional de Cardiologia Ignacio Chavez, Ciudad de Mexico, Mexico.
Jesus Vargas-BarronPharmacology, Instituto Nacional de Cardiologia Ignacio Chavez, CDMX, Mexico.
Ricardo Márquez-VelazcoDepartment of Immunology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico.
Julio Iván Farjat-PasosInterventional Cardiology, Instituto Nacional de Cardiologia Ignacio Chavez, Tlalpan, Mexico.ORCID 0000-0002-8353-7625
Karla Susana Martinez-ZavalaMedicine School, Metropolitan Autonomous University, Ciudad de Mexico, Mexico.
Valentin Jiménez-RojasImmunology, Instituto Nacional de Cardiologia Ignacio Chavez, CDMX, Mexico.
Sergio Andres Criales-VeraTomography, Instituto Nacional de Cardiologia Ignacio Chavez, CDMX, Mexico.
Jose Antonio Arias-GodínezEchocardiography, Instituto Nacional de Cardiologia Ignacio Chavez, Estado de Mexico, Mexico.
Giovanni Fuentevilla-AlvarezPhysiology, Instituto Nacional de Cardiologia Ignacio Chavez, CDMX, Mexico.
Veronica Guarner-LansPhysiology, Instituto Nacional de Cardiologia Ignacio Chavez, CDMX, Mexico.
Israel Perez-TorresCardiovascular Biomedicine, Instituto Nacional de Cardiologia Ignacio Chavez, CDMX, Mexico.
Gabriela Melendez-RamirezMagnetic Resonance, Instituto Nacional de Cardiologia Ignacio Chavez, CDMX, Mexico.
Tomas Efrain Sanchez PerezApplied Biotechnology, Instituto Nacional de Cardiologia Ignacio Chavez, CDMX, Mexico.
Maria Elena SotoImmunology, Instituto Nacional de Cardiologia Ignacio Chavez, CDMX, Mexico mesoto50@hotmail.com.ORCID 0000-0003-1332-2888
Instituto Nacional de Cardiología · MXCentro Médico ABC · MXMexican Social Security Institute · MXUniversidad Autónoma Metropolitana · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe evaluation of long-term inflammatory response and function in postoperative patients with aortic valve replacement (AVR) deserves special analysis because it is important to try to prevent reoperation and improve durability and functionality of the prostheses. It is our objective

methodsIn this study, we included a cohort of patients with aortic valve damage treated by AVR with mechanical prosthesis, bio prosthesis and we included a control group.

resultsWe found that IL-4 and osteopontin levels were higher in patients with mechanical vs biological prostheses (p=0.01 and p=0.04, respectively), osteoprotegerin (OPG) levels were decreased (p=0.01), women had lower levels of ET-1 and IL-6, (p=0.02) (p=0.04), respectively. Patients older than 60 years had decreased levels of IL-1ß p<0.001) and a higher concentration of IL-4 p<0.05). IL-1ß, OPG and TNFα were higher in patients with less than 5 years of evolution vs more than 10 years (p=0.004, p=0.02 and p=0.03, respectively). Factors such as age, gender, prosthetic and elevated IL-1B and ET-1 levels are associated with valve dysfunction prosthetic. These results indicate that the inflammatory involvement present prior to valve replacement may be perpetuated by various factors in the long term.

conclusionsThe findings provide us with the opportunity to effectively treat patients with AVR in the postoperative period, which could prolong the functionality of the bio prostheses. TRIAL REGISTRATION NUMBER: NCT04557345.

Indexed as

BioprosthesisHeart Valve DiseasesHeart Valve Prosthesis ImplantationAortic ValveFemaleHumansInterleukin-4Postoperative ComplicationsRetrospective StudiesInterleukin-4Aortic Valve InsufficiencyAortic Valve StenosisEchocardiographyHeart Valve Prosthesis

Identifiers

PMID35926961
PMCPMC9358956
OpenAlexW4289847021

What OpenQuestion holds

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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.