Evidence map›Paper›PMID 36003475›Full record

ArticleJTCVS open2022

Biomechanics in ascending aortic aneurysms correlate with tissue composition and strength.

Miriam Nightingale, Alexander Gregory, Taisiya Sigaeva, Gary M Dobson, Paul W M Fedak, Jehangir J Appoo, Elena S Di Martino, University of Calgary Aorta At-Risk Working Group

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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 27 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Miriam NightingaleBiomedical Engineering Graduate Program, University of Calgary, Calgary, Alberta, Canada.
Alexander GregoryLibin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
Taisiya SigaevaDepartment of Systems Design Engineering, University of Waterloo, Waterloo, Ontario, Canada.
Gary M DobsonDepartment of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Calgary, Alberta, Canada.
Paul W M FedakLibin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
Jehangir J AppooLibin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
Elena S Di MartinoLibin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
University of Calgary Aorta At-Risk Working Group
Libin Cardiovascular Institute of Alberta · CAUniversity of Calgary · CAUniversity of Waterloo · CA

Funding

Role of Valve-Mediated Hemodynamics on Bicuspid AortopathyR01HL133504 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BARKER, ALEXANDER J., FEDAK, PAUL WILLIAM MICHAEL · 2017 to 2021
$2.8M
NHLBI NIH HHS R01 HL133504
6 · The paper itself

Abstract

Objective: This study correlates low strain tangential modulus (LTM) and transition zone onset (TZo) stress, biomechanical parameters that occur within the physiological range of stress seen in vivo, with tissue strength and histopathologic changes in aneurysmal ascending aortic tissue. Method: Ascending aortic aneurysm tissue samples were collected from 41 patients undergoing elective resection. Samples were subjected to planar biaxial testing to quantify LTM and TZo. These were then correlated with strength assessed from uniaxial testing and with histopathologic quantification of pathologic derangements in elastin, collagen, and proteoglycan (PG). Results: Decreased LTM and TZo were correlated with reduced strength ( Conclusions: LTM and TZo are correlated with common biomechanical and histopathologic alterations in ascending aortic aneurysm tissue that are thought to relate to the risk of acute aortic syndromes. LTM and TZo are measured under conditions approximating in vivo physiology and have the potential to be obtained noninvasively using medical imaging techniques. Therefore, they represent parameters that warrant future study as potential contributors to our growing knowledge of pathophysiology, disease progression, and risk stratification of aortic disease.

Indexed as

aneurysmsascending aortaATAA, ascending thoracic aortic aneurysmBAV, bicuspid aortic valvebiomarkersbiomechanicsECM, extracellular matrixhistopathologyHTM, high-strain tangential modulusLTM, low-strain tangential modulusPG, proteoglycanTAV, tricuspid aortic valveTZe, Stress at the end of the transition zoneTZo, onset stress of the transition zone

Identifiers

PMID36003475
PMCPMC9390473
OpenAlexW4200007938

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.