Evidence map›Paper›PMID 36229944›Full record

ArticleJournal of cardiac surgery2022

Does concomitant tricuspid valve surgery increase the risks of minimally invasive mitral valve surgery? A multicentre comparison based on data from The Netherlands Heart Registration.

Jules R Olsthoorn, Samuel Heuts, Saskia Houterman, Maaike Roefs, Jos G Maessen, Peyman S Nia, Cardiothoracic Surgery Registration Committee of the Netherlands Heart Registration

Open access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiac surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 6 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

7 authors at 3 institutions in 1 country.

Jules R OlsthoornDepartment of Cardiothoracic Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-9678-3315
Samuel HeutsDepartment of Cardiothoracic Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0003-3531-9997
Saskia HoutermanNetherlands Heart Registration, Utrecht, The Netherlands.
Maaike RoefsNetherlands Heart Registration, Utrecht, The Netherlands.
Jos G MaessenDepartment of Cardiothoracic Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.
Peyman S NiaDepartment of Cardiothoracic Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.
Cardiothoracic Surgery Registration Committee of the Netherlands Heart Registration
Maastricht University Medical Centre · NLNetherlands Heart Registration · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMitral valve (MV) disease is often accompanied by tricuspid valve (TV) disease. The indication for concomitant TV surgery during primary MV surgery is expected to increase, especially through a minimally invasive surgical (MIS) approach. The aim of the current study is to investigate the safety of the addition of TV surgery to MV surgery in MIMVS in a nationwide registry.

methodsPatients undergoing atrioventricular valve surgery through sternotomy or MIS between 2013 and 2018 were included. Patients undergoing MV surgery only through sternotomy or MIS were used as comparison. Primary outcomes were short-term morbidity and mortality and long-term survival. Propensity score matching was used to correct for potential confounders.

resultsThe whole cohort consisted of 2698 patients. A total of 558 patients had atrioventricular double valve surgery through sternotomy and 86 through MIS. As a comparison, 1365 patients underwent MV surgery through sternotomy and 689 patients through MIS. No differences in 30- and 120-day mortality were observed between the groups, both unmatched and matched. 5-year survival did not differ for double atrioventricular valve surgery through either sternotomy or MIS in the matched population (90.1% vs. 95.3%, Log-Rank p = .12). A higher incidence of re-exploration for bleeding (n = 12 [15.2%] vs. n = 3 [3.8%], p = .02) and new onset arrhythmia (n = 35 [44.3%] vs. n = 13 [16.5%], p < .001) was observed in double valve surgery through MIS. Median length of hospital stay (LOHS) was longer in the minimally invasive double valve group (9 days [6-13]) compared with sternotomy (7 days [6-11]; p = .04).

conclusionNo differences in short-term mortality and 5-year survival were observed when tricuspid valve was added to MV surgery in MIS or sternotomy. The addition of tricuspid valve surgery is associated with higher incidence of re-exploration for bleeding, new onset arrhythmia. A longer LOHS was observed for MIS compared to sternotomy.

Indexed as

Cardiac Surgical ProceduresHeart Valve DiseasesHeart Valve Prosthesis ImplantationHumansMinimally Invasive Surgical ProceduresMitral ValveNetherlandsRetrospective StudiesSternotomyTreatment OutcomeTricuspid Valveminimally invasive mitral valve surgerymitral valve surgerynationwide registryrisk stratificationtricuspid valve surgery

Identifiers

PMID36229944
PMCPMC10091696
OpenAlexW4306158045

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.