Evidence map›Paper›PMID 38896588›Full record

Observational studyArquivos brasileiros de cardiologia2024

Temporal Trends in Transcatheter Aortic Valve Implantation: 10-Year Analysis of the TAVIDOR Registry.

Vinicius Esteves, Pedro Beraldo de Andrade, Cleverson Neves Zukowski, Edmur Araujo, Cristiano Guedes Bezerra, Adriano Dourado Oliveira, Eduardo Pessoa de Melo, Gustavo Gama, Rodrigo Cantarelli, Luiz Alberto Piva E Mattos and 17 more

Abstract readObservational Study
In one paragraph

Observational study in Arquivos brasileiros de cardiologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

27 authors.

Vinicius EstevesRede D'Or São Luiz, São Paulo, SP - Brasil.ORCID 0000-0003-1152-8946
Pedro Beraldo de AndradeRede D'Or São Luiz, São Paulo, SP - Brasil.ORCID 0000-0003-3511-7375
Cleverson Neves ZukowskiHospital Copa D'Or, Rio de Janeiro, RJ - Brasil.ORCID 0000-0002-5427-7596
Edmur AraujoHospital do Coração do Brasil, Brasília, RJ - Brasil.
Cristiano Guedes BezerraUniversidade Federal da Bahia - Hemodinâmica e Cardiologia Intervencionista, Salvador, BA - Brasil.ORCID 0000-0002-4762-0579
Adriano Dourado OliveiraHospital Santa Izabel, Salvador, BA - Brasil.
Eduardo Pessoa de MeloHospital Esperança, Recife, PE - Brasil.
Gustavo GamaUDI Hospital, São Luís, MA - Brasil.
Rodrigo CantarelliHospital Memorial São José, Recife, PE - Brasil.ORCID 0009-0002-3853-8159
Luiz Alberto Piva E MattosUDI Hospital, São Luís, MA - Brasil.
Angelo TedeschiRede D'Or São Luiz, Rio de Janeiro, RJ - Brasil.
Vitor Alves LouresHospital São Luiz Anália Franco, São Paulo, SP - Brasil.ORCID 0000-0003-3838-1913
Vitor VahleHospital São Lucas, Aracaju, SE - Brasil.ORCID 0009-0003-5677-905X
Guilherme Barreto Gameiro SilvaHospital Santa Cruz, Curitiba, PR - Brasil.
Miguel Antonio Neves RatiHospital Barra D'Or, Rio de Janeiro, RJ - Brasil.
Augusto Celso LopesHospital Monte Klinikum, Fortaleza, CE - Brasil.ORCID 0000-0003-1064-3803
Nilson de Moura Fé FilhoHospital São Carlos, Fortaleza, CE - Brasil.
Gustavo AlvesRede D'Or São Luiz, Rio de Janeiro, RJ - Brasil.ORCID 0000-0002-1851-5331
Sérgio Costa Tavares FilhoHospital São Lucas, Aracaju, SE - Brasil.
Sergio KreimerHospital e Maternidade Brasil, Santo André, SP - Brasil.
Marden TebetRede D'Or São Luiz, São Paulo, SP - Brasil.
Felipe MaiaUniversidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ - Brasil.
Maurício Sales de OliveiraHospital Copa D'Or, Rio de Janeiro, RJ - Brasil.
Alberto FonsecaHospital do Coração do Brasil, Brasília, RJ - Brasil.
Angelina CamilettiRede D'Or São Luiz, São Paulo, SP - Brasil.
Denilson Campos de AlbuquerqueUniversidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ - Brasil.ORCID 0000-0003-1883-6546
Olga Ferreira de SouzaRede D'Or São Luiz, Rio de Janeiro, RJ - Brasil.ORCID 0000-0001-8722-7504

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscatheter aortic valve implantation (TAVI) has established itself as the preferential strategy to approach severe aortic stenosis. Information on procedural improvements and nationwide results obtained with the technique throughout the past decade are unknown.

objectivesTo assess the temporal variation of the demographic profile, procedural characteristics, and in-hospital outcomes of patients undergoing TAVI procedures at the Rede D'Or São Luiz.

methodsObservational registry comprising 29 national institutions, comparing the characteristics of the TAVI procedures performed from 2012 to 2017 (Group 1) to those performed from 2018 to 2023 (Group 2). The statistical significance level adopted was p < 0.05.

resultsThis study assessed 661 patients, 95 in Group 1 and 566 in Group 2, with a mean age of 81.1 years. Group 1 patients had a higher prevalence of New York Heart Association functional class III or IV and STS risk score > 8%. In addition, they more often underwent general anesthesia, transesophageal echocardiographic monitoring, and access through femoral dissection. Group 2 patients had a higher success rate of the TAVI procedure (95.4% versus 89.5%; p = 0.018), lower mortality (3.9% versus 11.6%; p = 0.004), and less often needed permanent pacemaker implantation (8.5% versus 17.9%; p = 0.008).

conclusionsThe 10-year temporal trends analysis of the TAVIDOR Registry shows a reduction in patients' clinical complexity over time. Furthermore, the advance to minimalistic implantation techniques, added to the technological evolution of the devices, may have contributed to the favorable outcomes observed among those whose implantation occurred in the last 5 years studied.

Indexed as

Aortic Valve StenosisRegistriesTranscatheter Aortic Valve ReplacementAgedAged, 80 and overBrazilFemaleHospital MortalityHumansMaleRisk FactorsTime FactorsTreatment Outcome

Identifiers

PMID38896588
PMCPMC11164433

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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.