Evidence map›Paper›PMID 36713106›Full record

ArticleEuropean heart journal. Digital health2021

Towards patient-specific prediction of conduction abnormalities induced by transcatheter aortic valve implantation: a combined mechanistic modelling and machine learning approach.

Valeria Galli, Filip Loncaric, Giorgia Rocatello, Patricio Astudillo, Laura Sanchis, Ander Regueiro, Ole De Backer, Martin Swaans, Johan Bosmans, Joana Maria Ribeiro and 4 more

Open access · goldAbstract read
In one paragraph

Article in European heart journal. Digital health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
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  7. Adopting artificial intelligence in cardiovascular medicine: a scoping review.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  8. Review
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  12. Review
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  15. The 1-year anniversary of theEuropean heart journal. Digital health · 2021
    Article
  16. Article
  17. The 10 Commandments for Transapical TAVI.Innovations (Philadelphia, Pa.)
    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

14 authors at 8 institutions in 5 countries.

Valeria GalliFEops NV, Technologiepark 122, 9052 Ghent, Belgium.ORCID https://orcid.org/0000-0001-8522-3251
Filip LoncaricInstitute of Biomedical Research August Pi Sunyer (IDIBAPS), Carrer del Rosselló, 149, 08036, Barcelona, Spain.ORCID https://orcid.org/0000-0002-7865-1108
Giorgia RocatelloFEops NV, Technologiepark 122, 9052 Ghent, Belgium.
Patricio AstudilloFEops NV, Technologiepark 122, 9052 Ghent, Belgium.
Laura SanchisCardiovascular Institute, Hospital Clínic and Universitat de Barcelona, C. de Villarroel, 170, 08036 Barcelona, Spain.
Ander RegueiroCardiovascular Institute, Hospital Clínic and Universitat de Barcelona, C. de Villarroel, 170, 08036 Barcelona, Spain.
Ole De BackerDepartment of Cardiology, Rigshospitalet University Hospital, Blegdamsvej 9, 2100 København, Denmark.
Martin SwaansDepartment of Cardiology, St. Antonius Ziekenhuis, Koekoekslaan 1, 3435 CM Nieuwegein, The Netherlands.
Johan BosmansDepartment of Cardiology, University Hospital Antwerp, Drie Eikenstraat 655, 2650 Edegem, Antwerp, Belgium.
Joana Maria RibeiroDepartment of Cardiology, Erasmus MC, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
Pablo LamataDepartment of Biomedical Engineering, King's College London, Strand, London WC2R 2LS, UK.ORCID https://orcid.org/0000-0002-3097-4928
Marta SitgesInstitute of Biomedical Research August Pi Sunyer (IDIBAPS), Carrer del Rosselló, 149, 08036, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1300-4732
Peter de JaegereDepartment of Cardiology, Erasmus MC, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
Peter MortierFEops NV, Technologiepark 122, 9052 Ghent, Belgium.
Erasmus MC · NLUniversitat de Barcelona · ESAntwerp University Hospital · BEInstitut d'Investigacions Biomèdiques de Barcelona · ESInstituto de Salud Carlos III · ESKing's College London · GBRigshospitalet · DKSt. Antonius Ziekenhuis · NL

Funding

Wellcome Trust
6 · The paper itself

Abstract

Aims: Post-procedure conduction abnormalities (CA) remain a common complication of transcatheter aortic valve implantation (TAVI), highlighting the need for personalized prediction models. We used machine learning (ML), integrating statistical and mechanistic modelling to provide a patient-specific estimation of the probability of developing CA after TAVI. Methods and results: The cohort consisted of 151 patients with normal conduction and no pacemaker at baseline who underwent TAVI in nine European centres. Devices included CoreValve, Evolut R, Evolut PRO, and Lotus. Preoperative multi-slice computed tomography was performed. Virtual valve implantation with patient-specific computer modelling and simulation (CM&S) allowed calculation of valve-induced contact pressure on the anatomy. The primary composite outcome was new onset left or right bundle branch block or permanent pacemaker implantation (PPI) before discharge. A supervised ML approach was applied with eight models predicting CA based on anatomical, procedural and mechanistic data. CA occurred in 59% of patients ( Conclusion: ML, integrating statistical and mechanistic modelling, achieved an accurate prediction of CA after TAVI. This study demonstrates the potential of a synergetic approach for personalizing procedure planning, allowing selection of the optimal device and implantation strategy, avoiding new CA and/or PPI.

Indexed as

Conduction abnormalitiesDigital twinMachine learningMechanistic modellingTAVI

Identifiers

PMID36713106
PMCPMC9708019
OpenAlexW3194173908

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.