Evidence map›Paper›PMID 38807003›Full record

ArticleJournal of cardiovascular translational research2024

Extracellular Vesicles to Predict Outcomes After Transcatheter Aortic Valve Implantation - a Prospective, Multicenter Cohort Study.

Radosław Wilimski, Jan Budzianowski, Michał Łomiak, Anna Olasińska-Wiśniewska, Katarzyna Pieniak, Szymon Jędrzejczyk, Olaf Domaszk, Magdalena Chudzik, Krzysztof J Filipiak, Jarosław Hiczkiewicz and 12 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of cardiovascular translational research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
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  5. Review
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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

22 authors.

Radosław WilimskiDepartment of Cardiac Surgery, Medical University of Warsaw, Warsaw, Poland.
Jan BudzianowskiClub 30", Polish Cardiac Society, Warsaw, Poland.
Michał Łomiak1St Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Anna Olasińska-WiśniewskaClub 30", Polish Cardiac Society, Warsaw, Poland.
Katarzyna Pieniak1St Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Szymon Jędrzejczyk1St Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Olaf Domaszk1St Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Magdalena Chudzik1St Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Krzysztof J FilipiakDepartment of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Jarosław HiczkiewiczDepartment of Interventional Cardiology and Cardiac Surgery, University of Zielona Góra, Collegium Medicum, 65-046, Zielona Góra, Poland.
Wojciech FaronDepartment of Cardiology, Nowa Sól Multidisciplinary Hospital, 67-100, Nowa Sól, Poland.
Tomasz UrbanowiczDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Marek JemielityDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Marek GrygierChair and 1st Department of Cardiology, Poznań University of Medical Sciences, Poznań, Poland.
Marcin Grabowski1St Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Mariusz KuśmierczykDepartment of Cardiac Surgery, Medical University of Warsaw, Warsaw, Poland.
Bartosz Rymuza1St Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Zenon Huczek1St Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Janusz Kochman1St Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Edwin van der PolDepartment of Biomedical Engineering and Physics, Amsterdam UMC, Amsterdam, The Netherlands.
Rienk NieuwlandLaboratory of Experimental Clinical Chemistry & Amsterdam Vesicle Center, Amsterdam UMC, Amsterdam, The Netherlands.
Aleksandra GąseckaClub 30", Polish Cardiac Society, Warsaw, Poland. gaseckaa@gmail.com.ORCID http://orcid.org/0000-0001-5083-7587

Funding

Polskiego Towarzystwa Kardiologicznego 1WR/DAR13/20
6 · The paper itself

Abstract

introductionTranscatheter aortic valve implantation (TAVI) is an established treatment for aortic stenosis (AS) in patients at intermediate and high surgical risk. Circulating extracellular vesicles (EVs) are nanoparticles involved in cardiovascular diseases. We aimed to (i) determine the effect of TAVI on plasma concentrations of five EV subtypes and (ii) evaluate the predictive value of EVs for post-TAVI outcomes.

methodsBlood samples were collected 1 day before TAVI and at hospital discharge. Concentrations of EVs were evaluated using flow cytometry.

resultsConcentration of leukocytes EVs decreased after TAVI, compared to the measurement before (p = 0.008). Among 123 patients discharged from the hospital, 19.5% experienced MACCE during the median of 10.3 months. Increased pre-TAVI concentration of phosphatidylserine-exposing EVs was an independent predictor of MACCE in multivariable analysis (OR 5.313, 95% CI 1.164-24.258, p = 0.031).

conclusionsPatients with increased pre-TAVI concentration of procoagulant, PS-exposing EVs have over fivefold higher odds of adverse outcomes.

Indexed as

Aortic ValveAortic Valve StenosisExtracellular VesiclesPredictive Value of TestsTranscatheter Aortic Valve ReplacementAgedAged, 80 and overBiomarkersFemaleHumansMalePhosphatidylserinesProgression-Free SurvivalProspective StudiesRisk AssessmentRisk FactorsBiomarkersPhosphatidylserinesAortic stenosisExtracellular vesicles (EVs)PrognosisTranscatheter aortic valve implantation (TAVI)

Identifiers

PMID38807003
PMCPMC11519094

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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.