Evidence map›Paper›PMID 38818933›Full record

ArticleJournal of the American Heart Association2024

Impact of Significant Hemoglobin Drop Without Bleeding in Patients Undergoing Transcatheter Aortic Valve Replacement.

Pavan Reddy, Ilan Merdler, Cheng Zhang, Matteo Cellamare, Itsik Ben-Dor, Lowell F Satler, Toby Rogers, Hector M Garcia-Garcia, Ron Waksman

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Pavan ReddySection of Interventional Cardiology MedStar Washington Hospital Center Washington DC USA.ORCID 0000-0001-8913-7430
Ilan MerdlerSection of Interventional Cardiology MedStar Washington Hospital Center Washington DC USA.
Cheng ZhangSection of Interventional Cardiology MedStar Washington Hospital Center Washington DC USA.
Matteo CellamareSection of Interventional Cardiology MedStar Washington Hospital Center Washington DC USA.
Itsik Ben-DorSection of Interventional Cardiology MedStar Washington Hospital Center Washington DC USA.
Lowell F SatlerSection of Interventional Cardiology MedStar Washington Hospital Center Washington DC USA.ORCID 0000-0001-6446-2683
Toby RogersSection of Interventional Cardiology MedStar Washington Hospital Center Washington DC USA.ORCID 0000-0002-6043-3137
Hector M Garcia-GarciaSection of Interventional Cardiology MedStar Washington Hospital Center Washington DC USA.ORCID 0000-0001-5100-0471
Ron WaksmanSection of Interventional Cardiology MedStar Washington Hospital Center Washington DC USA.ORCID 0000-0002-4063-9226

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemoglobin (Hgb) drop without bleeding is common among patients undergoing transcatheter aortic valve replacement; however, the clinical implications of significant Hgb drop have not been fully evaluated. METHODS AND

resultsConsecutive patients undergoing transcatheter aortic valve replacement at our institution from 2011 to 2021 were retrospectively reviewed. Three groups were assessed: no Hgb drop and no bleed (NoD-NoB [reference group]), Hgb drop with bleed, and Hgb drop and no bleed (D-NoB). Hgb drop was defined as ≥3 g/dL decrease from pre- to post-transcatheter aortic valve replacement. Outcomes of interest were in-hospital death and 1-year all-cause mortality. A total of 1851 cases with complete Hgb data were included: NoD-NoB: n=1579 (85.3%); D-NoB: n=49 (2.6%); Hgb drop with bleed: n=223 (12.6%). Compared with NoD-NoB, the D-NoB group was older (81.1 versus 78.9 years of age) with higher preprocedure Hgb (12.9 versus 11.7 g/dL). In-hospital death rate was higher among patients with D-NoB versus NoD-NoB (4.5% versus 0.8%,

conclusionsHgb drop without bleeding is common among patients undergoing transcatheter aortic valve replacement and may represent a higher risk of periprocedural death. Blood transfusion increases short- and midterm mortality risk in patients with and without bleeding, supporting a restrictive transfusion strategy.

Indexed as

Aortic Valve StenosisHemoglobinsHospital MortalityTranscatheter Aortic Valve ReplacementAgedAged, 80 and overFemaleHumansMaleRetrospective StudiesRisk AssessmentRisk FactorsTreatment OutcomeHemoglobinsbleedingrisk stratificationTAVR

Identifiers

PMID38818933
PMCPMC11255624

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