Evidence map›Paper›PMID 36003461›Full record

ArticleJTCVS open2022

Gradient and pressure recovery of a self-expandable transcatheter aortic valve depends on ascending aorta size: In vitro study.

Milad Samaee, Hoda Hatoum, Michael Biersmith, Breandan Yeats, Shelley C Gooden, Vinod H Thourani, Rebecca T Hahn, Scott Lilly, Ajit Yoganathan, Lakshmi Prasad Dasi

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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, 11 citations in OpenAlex.

  1. Article
  2. From invasive gradients to pressure recovery: rethinking long-standing paradigms.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
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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

10 authors at 4 institutions in 1 country.

Milad SamaeeDepartment of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga.
Hoda HatoumDepartment of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga.
Michael BiersmithDepartment of Surgery, Ohio State University, Columbus, Ohio.
Breandan YeatsDepartment of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga.
Shelley C GoodenDepartment of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga.
Vinod H ThouraniDepartment of Cardiovascular Surgery, Marcus Valve Center, Piedmont Heart Institute, Atlanta, Ga.
Rebecca T HahnDivision of Cardiology, Columbia University Medical Center, New York, NY.
Scott LillyDepartment of Surgery, Ohio State University, Columbus, Ohio.
Ajit YoganathanDepartment of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga.
Lakshmi Prasad DasiDepartment of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Ga.
Georgia Institute of Technology · USThe Ohio State University · USColumbia University Irving Medical Center · USMichigan Technological University · US

Funding

Hyaluronan enhanced polymeric heart valve prosthesisR01HL119824 · NHLBI · OHIO STATE UNIVERSITY · PI DASI, LAKSHMI PRASAD · 2013 to 2017
$1.7M
Superomniphobic flow controlled prosthetic heart valveR21HL139208 · NHLBI · OHIO STATE UNIVERSITY · PI DASI, LAKSHMI PRASAD, KOTA, ARUN KUMAR · 2018 to 2019
$408k
NHLBI NIH HHS R01 HL119824NHLBI NIH HHS R21 HL139208
6 · The paper itself

Abstract

Objective: In this study we aimed to understand the role of interaction of the Medtronic Evolut R transcatheter aortic valve with the ascending aorta (AA) by evaluating the performance of the valve and the pressure recovery in different AA diameters with the same aortic annulus size. Methods: A 26-mm Medtronic Evolut R valve was tested using a left heart simulator in aortic root models of different AA diameter (D): small (D = 23 mm), medium (D = 28 mm), and large (D = 34 mm) under physiological conditions. Measurements of pressure from upstream to downstream of the valve were performed using a catheter at small intervals to comprehensively assess pressure gradient and pressure recovery. Results: In the small AA, the measured peak and mean pressure gradient at vena contracta were 11.5 ± 0.5 mm Hg and 7.8 ± 0.4 mm Hg, respectively, which was higher ( Conclusions: We have shown that small and large AAs can increase net pressure gradient, because of the direct interaction of the Medtronic Evolut R stent with the AA (in small AA) and introducing higher level of turbulence (in large AA). AA size might need to be considered in the selection of an appropriate device for transcatheter aortic valve replacement.

Indexed as

AA, ascending aortaAS, aortic stenosisascending aortaBE, balloon-expandableEcho, Doppler echocardiographyleft heart simulatorLV, left ventricleLVOT, left ventricular outflow tractPG, pressure gradientPI, pinwheeling indexpressure gradientpressure recoveryPR, pressure recoverySE, self-expandableTAVR, transcatheter aortic valve replacementTHV, transcatheter heart valveT, instantaneous time during cardiac cycletranscatheter aortic valveVC, vena contracta

Identifiers

PMID36003461
PMCPMC9390729
OpenAlexW4206999611

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.