Evidence map›Paper›PMID 38353680›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2025

Valve unit instead of intensive or intermediate care unit admission following transcatheter edge-to-edge mitral valve repair is safe and reduces postprocedural complications.

Matthias Gröger, Dominik Felbel, Michael Paukovitsch, Leonhard Moritz Schneider, Sinisa Markovic, Wolfgang Rottbauer, Mirjam Keßler

Open access · hybridAbstract read
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-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

3 citing papers in PubMed, 3 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

7 authors at 1 institution in 1 country.

Matthias GrögerDepartment of Internal Medicine II, Ulm University Heart Center, University of Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Dominik FelbelDepartment of Internal Medicine II, Ulm University Heart Center, University of Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Michael PaukovitschDepartment of Internal Medicine II, Ulm University Heart Center, University of Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Leonhard Moritz SchneiderDepartment of Internal Medicine II, Ulm University Heart Center, University of Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Sinisa MarkovicDepartment of Internal Medicine II, Ulm University Heart Center, University of Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Wolfgang RottbauerDepartment of Internal Medicine II, Ulm University Heart Center, University of Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Mirjam KeßlerDepartment of Internal Medicine II, Ulm University Heart Center, University of Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany. mirjam.kessler@uniklinik-ulm.de.ORCID http://orcid.org/0000-0001-6423-0508
Universität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscatheter edge-to-edge mitral valve repair (M-TEER) is often performed in general anesthesia, and postprocedural monitoring is usually warranted on an intensive or intermediate care unit (ICU/IMC). We evaluated the implications of a dedicated valve unit (VU) instead of an ICU/IMC for monitoring after M-TEER. METHODS AND

resultsIn total, 624 patients were retrospectively analyzed. A total of 312 patients were primarily transferred to either ICU or IMC following M-TEER, and 312 patients were scheduled for the VU in the absence of indications for ICU/IMC treatment. Hospital stay was significantly shorter in VU patients (median 6.0 days (interquartile range (IQR) 5.0 - 8.0) vs. 7.0 days (IQR 6.0 - 10.0), p < 0.001) and their risk for infections (2.9 vs. 7.7%, p = 0.008) and delirium (0.6 vs. 2.6%, p = 0.056) was substantially lower compared to ICU/IMC patients. In-hospital mortality was similar in both groups (0.6% vs. 1.3%, p = 0.41). Fifty patients (16.0%) in the VU group had to cross over to unplanned ICU/IMC admission. The most frequent indication was prolonged need for catecholamines (52.0%). Patients with ICU/IMC crossover had more advanced stages of heart failure (LV-EF < 30% in 36.0 vs. 16.0%, p = 0.001; severe concomitant tricuspid regurgitation in 48.0 vs. 27.8%, p = 0.005) and an LV-EF < 30% was independently associated with unplanned ICU/IMC admission.

conclusionsFollowing M-TEER postprocedural monitoring on a VU instead of an ICU/IMC is safe, reduces complications, and spares ICU capacities. Patients with advanced heart failure have a higher risk for unplanned ICU/IMC treatment after M-TEER.

Indexed as

Cardiac CatheterizationHeart Valve Prosthesis ImplantationIntensive Care UnitsMitral ValveMitral Valve InsufficiencyPatient AdmissionPostoperative ComplicationsAgedAged, 80 and overEchocardiography, TransesophagealFemaleHospital MortalityHumansLength of StayMaleRetrospective StudiesIntensive careMitral valve repairPostprocedural careTEER

Identifiers

PMID38353680
PMCPMC12202642
OpenAlexW4391815826

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LicenceCC BY
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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.