Evidence map›Paper›PMID 36675450›Full record

ArticleJournal of clinical medicine2023

Transcatheter Interventions for Atrioventricular Dysfunction in Patients with Adult Congenital Heart Disease: An International Case Series.

Nili Schamroth Pravda, Hana Vaknin Assa, Lars Sondergaard, Vilhelmas Bajoras, Horst Sievert, Kerstin Piayda, Amos Levi, Guy Witberg, Yaron Shapira, Ashraf Hamdan and 6 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. 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
–field-weighted citation impact
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.

  1. Review
  2. Interventions for adult congenital heart disease.Nature reviews. Cardiology · 2025
    Review
  3. Transcatheter Edge-to-Edge Repair of a Degenerated Mitral Valve in Complex Congenital Heart Disease.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  4. 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

16 authors.

Nili Schamroth PravdaDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Hana Vaknin AssaDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.ORCID 0000-0001-6935-9765
Lars SondergaardDepartment of Cardiology, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark.
Vilhelmas BajorasDepartment of Cardiology, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark.
Horst SievertCardioVascular Center Frankfurt CVC, 60389 Frankfurt am Main, Germany.
Kerstin PiaydaCardioVascular Center Frankfurt CVC, 60389 Frankfurt am Main, Germany.
Amos LeviDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Guy WitbergDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Yaron ShapiraDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Ashraf HamdanDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.ORCID 0000-0002-3347-825X
Leor PerlDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.ORCID 0000-0002-0625-7937
Shahar VigDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Leonard BliedenDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Ran KornowskiDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.ORCID 0000-0002-7708-8253
Rafael HirschDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.
Pablo CodnerDepartment of Cardiology, Rabin Medical Center, Petah Tikva 4941492, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA substantial proportion of patients with adult congenital heart disease (ACHD) suffer from worsening valvular dysfunction in adulthood. Transcatheter valve interventions can offer a therapeutic alternative to surgery for those at high surgical risk. There is emerging but limited data on transcatheter interventions for atrioventricular (AV) valve dysfunction in patients with ACHD.

methodsWe compiled an international collaborative multi-center registry focusing on adult patients with congenital heart disease undergoing transcatheter AV valve interventions (repair or replacement). Included were patients from three international centers who underwent procedures between 2016 and 2022. Demographic, clinical, and procedural data were compiled.

resultsNine patients with ACHD underwent AV valve interventions. The median age was 48 years (IQR (37; 56), 55% women). At baseline, seven patients (78%) were in NYHA functional class III and two (22%) were in NYHA functional class II. The diagnosis of ACHD varied. Three valve interventions were performed on the subpulmonary AV valve and six on the systemic AV valve. The primary valvular pathology was regurgitation (six patients, 78%). Five procedures were valve-in-valve interventions, and four procedures were transcatheter edge-to-edge repair procedures. There were no major complications or peri-procedural complications or peri-procedural mortality. One patient developed a suspected non-obstructive thrombus on the valve that was medically treated. One patient did not improve clinically following the procedure and underwent a heart transplant, one patient died 6 months following the procedure due to a cardiovascular implantable electronic device infection. At one year, six patients were in NYHA functional class I, and one patient was in NYHA functional class III. In conclusion, transcatheter AV heart valve interventions are feasible and safe procedures in carefully selected ACHD patients. These procedures can offer an effective treatment option in these younger patients with high surgical risk.

Indexed as

ACHDatrioventricular valvetranscatheter

Identifiers

PMID36675450
PMCPMC9864755

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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.