Evidence map›Paper›PMID 36498661›Full record

ArticleJournal of clinical medicine2022

Utilization of Two- and Three-Dimensional Transesophageal Echocardiography in Successfully Guiding Transcatheter Mitral Valve in Bioprosthetic Mitral Valve/Mitral Ring Implantation without Complications in Patients with Thrombus in Left Atrium/Left Atrial Appendage.

Zeyad M Elmarzouky, Ming-Chon Hsiung, Amr Darwish, Subash Dulal, Bhanu Maturi, Wei-Hsian Yin, Yung-Tsai Lee, Tien-Ping Tsao, Jeng Wei, Navin C Nanda

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Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 72% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 2 countries.

Zeyad M ElmarzoukyDivision of Cardiology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35305, USA.ORCID 0000-0001-9549-1700
Ming-Chon HsiungDivision of Cardiology, Cheng Hsin General Hospital, Taipei 112, Taiwan.
Amr DarwishDivision of Cardiology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35305, USA.
Subash DulalDivision of Cardiology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35305, USA.
Bhanu MaturiUAB Montgomery Internal Medicine Residency Program, Montgomery, AL 36116, USA.ORCID 0000-0001-6068-1598
Wei-Hsian YinDivision of Cardiology, Cheng Hsin General Hospital, Taipei 112, Taiwan.
Yung-Tsai LeeDivision of Cardiology, Cheng Hsin General Hospital, Taipei 112, Taiwan.ORCID 0000-0002-3928-0164
Tien-Ping TsaoDivision of Cardiology, Cheng Hsin General Hospital, Taipei 112, Taiwan.ORCID 0000-0002-9935-5172
Jeng WeiDivision of Cardiology, Cheng Hsin General Hospital, Taipei 112, Taiwan.
Navin C NandaDivision of Cardiology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35305, USA.ORCID 0000-0002-9657-5620
University of Alabama at Birmingham · USCheng Hsin General Hospital · TWNational Yang Ming Chiao Tung University · TWAuburn University at Montgomery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is to describe, for the first time to our knowledge, the utilization of both two-dimensional (2D) and three-dimensional (3D) transesophageal echocardiography (TEE) in successfully performing transcatheter mitral valve (MV) in bioprosthetic MV/MV annulopasty ring implantation using the apical approach in 12 patients (pts) with co-existing left atrial appendage (LAA) and/or LA (left atrium) body thrombus, which is considered a contraindication for this procedure. METHODS AND

resultsAll pts were severely symptomatic with severe bioprosthetic MV stenosis/regurgitation except one with a previous MV annuloplasty ring and severe native MV stenosis. Thrombus in LAA and/or LA body was noted in all by 2D and 3DTEE. All were at high/prohibitive risk for redo operation and all refused surgery. Utilizing both 2D and 3DTEE, especially 3DTEE, guidewires and the prosthesis deployment system could be manipulated under direct vision into the LA avoiding any contact with the thrombus. The procedure was successful in all with amelioration of symptoms and no embolic or other complications over a mean follow-up of 21 months.

conclusionOur study demonstrates the feasibility of successfully performing this procedure in pts with thrombus in LAA and/or LA body without any complications.

Indexed as

echocardiographyleft atrial appendage thrombusleft atrial thrombusmitral valve in prosthetic mitral valvemitral valve in valvethree-dimensional echocardiographytransesophageal echocardiographytwo-dimensional echocardiography

Identifiers

PMID36498661
PMCPMC9737088
OpenAlexW4310398023

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LicenceCC BY
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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.