Evidence map›Paper›PMID 37351289›Full record

ReviewFrontiers in cardiovascular medicine2023

The safety and efficacy of balloon-expandable versus self-expanding trans-catheter aortic valve replacement in high-risk patients with severe symptomatic aortic stenosis.

Nagendra Boopathy Senguttuvan, Hemal Bhatt, Vinod Kumar Balakrishnan, Parasuram Krishnamoorthy, Sunny Goel, Pothireddy M K Reddy, Vinodhini Subramanian, Bimmer E Claessen, Ashish Kumar, Monil Majmundar and 7 more

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 4 countries.

Nagendra Boopathy SenguttuvanDepartment of Cardiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Hemal BhattDepartment of Cardiology, The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Vinod Kumar BalakrishnanDepartment of Cardiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Parasuram KrishnamoorthyDepartment of Cardiology, Hackensack Meridian Health, New Jersey, NJ, United States.
Sunny GoelDepartment of Cardiology, Hackensack Meridian Health, New Jersey, NJ, United States.
Pothireddy M K ReddyDepartment of Cardiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Vinodhini SubramanianDepartment of Cardiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Bimmer E ClaessenDepartment of Cardiology, The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Ashish KumarDepartment of Internal Medicine, Cleveland Clinic Akron General, Akron, OH, United States.
Monil MajmundarDepartment of Internal Medicine, New York Medical College, Metropolitan Hospital, New York, NY, United States.
Richard RoDepartment of Cardiology, The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Stamatios LerakisDepartment of Cardiology, The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Ramamoorthi JayarajJindal Institute of Behavioral Sciences (JIBS), Jindal Global Institution of Eminence Deemed to Be University, Sonipat, India.
Ankur KalraDepartment of Internal Medicine, Cleveland Clinic Akron General, Akron, OH, United States.
Marcus FlatherProfessor of Cardiology, Norwich Medical School, University of East Anglia, Norwich, United Kingdom.
George DangasDepartment of Cardiology, The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Gilbert H L TangDepartment of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Icahn School of Medicine at Mount Sinai · USSri Ramachandra Institute of Higher Education and Research · INHackensack Meridian Health · USAmsterdam University Medical Centers · NLCleveland Clinic · USFranciscan Health Indianapolis · USMetropolitan Hospital Center · USO. P. Jindal Global University · INUniversity of East Anglia · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Transfemoral Trans-catheter Aortic Valve Replacement (TF-TAVR) is a safe and effective therapy compared with surgical aortic valve replacement (SAVR) in patients across all risk profiles using balloon-expandable valves (BEV) and self-expanding valves (SEV). Our aim was to compare safety and efficacy of BEV vs. SEV in high-risk patients undergoing TF-TAVR. Methods and results: We searched PubMed, EMBASE, Clinicaltrials.gov, Scopus, and Web of sciences for studies on patients with severe aortic stenosis undergoing TAVR. Primary outcome was 30-day all-cause mortality. Secondary outcomes defined by Valve Academic Research Consortium 2 (VARC-2) criteria were also examined. Six studies with 2,935 patients (1,439 to BEV and 1,496 to SEV) were included. BEV was associated with lower risk of all-cause mortality (2.2% vs. 4.5%; RR: 0.51; 95% CI: 0.31-0.82; Conclusion: BEV TAVR is associated with reduced all-cause mortality (High level of GRADE evidence), cardiovascular mortality (very low level) at 30 days compared with SEV TAVR in high surgical risk patients. Data are necessary to determine if the difference in outcomes persists in longer-term and if the same effects are seen in lower-risk patients. Systematic Review Registration: identifier, CRD42020181190.

Indexed as

aortic stenosisballoon expandableself-expandingtrans catheter aortic valve replacementvalve

Identifiers

PMID37351289
PMCPMC10283153
OpenAlexW4378232193

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.