Evidence map›Paper›PMID 37219698›Full record

ArticleAnnals of biomedical engineering2023

Calcium Fracture and Device Over Expansion in Transcatheter Aortic Valve Replacement for Bicuspid Aortic Valves.

Breandan B Yeats, Sri Krishna Sivakumar, Milad Samaee, Venkateshwar Polsani, Pradeep K Yadav, Vinod H Thourani, Stephanie Sellers, Janarthanan Sathananthan, Lakshmi P Dasi

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Article in Annals of biomedical engineering, 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
1.1field-weighted citation impact, top 21% 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, 5 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

9 authors at 3 institutions in 2 countries.

Breandan B YeatsDepartment of Biomedical Engineering, Georgia Institute of Technology and Emory University, 387 Technology Cir NW, Atlanta, GA, 30313, USA.
Sri Krishna SivakumarDepartment of Biomedical Engineering, Georgia Institute of Technology and Emory University, 387 Technology Cir NW, Atlanta, GA, 30313, USA.
Milad SamaeeDepartment of Biomedical Engineering, Georgia Institute of Technology and Emory University, 387 Technology Cir NW, Atlanta, GA, 30313, USA.
Venkateshwar PolsaniDepartment of Cardiology, Marcus Valve Center, Piedmont Heart Institute, Atlanta, GA, USA.
Pradeep K YadavDepartment of Cardiology, Marcus Valve Center, Piedmont Heart Institute, Atlanta, GA, USA.
Vinod H ThouraniDepartment of Cardiovascular Surgery, Marcus Valve Center, Piedmont Heart Institute, Atlanta, GA, USA.
Stephanie SellersCardiovascular Translational Lab, Centre for Heart Lung Innovation & Centre for Cardiovascular Innovation, University of British Columbia, Vancouver, Canada.
Janarthanan SathananthanCardiovascular Translational Lab, Centre for Heart Lung Innovation & Centre for Cardiovascular Innovation, University of British Columbia, Vancouver, Canada.
Lakshmi P DasiDepartment of Biomedical Engineering, Georgia Institute of Technology and Emory University, 387 Technology Cir NW, Atlanta, GA, 30313, USA. lakshmi.dasi@gatech.edu.
Emory University · USUniversity of British Columbia · CAValve (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transcatheter aortic valve replacement (TAVR) in patients with bicuspid aortic valve disease (BAV) has potential risks of under expansion and non-circularity which may compromise long-term durability. This study aims to investigate calcium fracture and balloon over expansion in balloon-expandable TAVs on the stent deformation with the aid of simulation. BAV patients treated with the SAPIEN 3 Ultra with pre- and post-TAVR CTs were analyzed (n = 8). Simulations of the stent deployment were performed (1) with baseline simulation allowing calcium fracture, (2) without allowable calcium fracture and (3) with balloon over expansion (1 mm larger diameter). When compared to post CT, baseline simulations had minimal error in expansion (2.5% waist difference) and circularity (3.0% waist aspect ratio difference). When compared to baseline, calcium fracture had insignificant impact on the expansion (- 0.5% average waist difference) and circularity (- 1.6% average waist aspect ratio difference). Over expansion had significantly larger expansion compared to baseline (15.4% average waist difference) but had insignificant impact on the circularity (- 0.5% waist aspect ratio difference). We conclude that stent deformation can be predicted with minimal error, calcium fracture has small differences on the final stent deformation except in extreme calcified cases, and balloon over expansion expands the waist closer to nominal values.

Indexed as

Aortic Valve StenosisBicuspid Aortic Valve DiseaseHeart Valve ProsthesisTranscatheter Aortic Valve ReplacementAortic ValveCalciumHumansProsthesis DesignTreatment OutcomeCalciumBalloon-expandableCalcific aortic valve diseaseComputational modeling

Identifiers

PMID37219698
OpenAlexW4377565547

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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.