Evidence map›Paper›PMID 38933424›Full record

ArticleHealth science reports2024

Subclinical leaflet thrombosis and anticoagulation strategy following trans-catheter aortic valve replacement: A systematic review.

Singam Shashank, Lalitha Devi Balireddi, Pugazhendi Inban, Saud Muthanna Shakir Al-Ezzi, Nalla Jaipal Reddy, Yarub Alalousi, Priyadarshi Prajjwal, Jobby John, Mohammed Abulgaith Ali Shajeri, Mohammed Khaleel I K H Almadhoun and 4 more

Abstract read
In one paragraph

Article in Health science reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Singam ShashankShadan Institute of Medical Sciences Hyderabad India.
Lalitha Devi BalireddiMamata Medical College Khammam India.
Pugazhendi InbanGovernment Medical College, Omandurar Chennai India.ORCID 0000-0001-7569-3743
Saud Muthanna Shakir Al-EzziInternal Medicine Lugansk State Medical University Lugansk Ukraine.
Nalla Jaipal ReddyInternal Medicine VN Karazina Kharkiv National University Kharkiv Ukraine.
Yarub AlalousiSt Joseph University Medical Center, Paterson Brooklyn New York USA.
Priyadarshi PrajjwalBharati Vidyapeeth University Medical College Pune India.ORCID 0000-0001-7894-1829
Jobby JohnDr. Somervell Memorial CSI Medical College and Hospital, Neyyāttinkara Thiruvananthapuram India.
Mohammed Abulgaith Ali ShajeriInternal Medicine Jazan University Jazan Saudi Arabia.
Mohammed Khaleel I K H AlmadhounInternal Medicine Mutah University Karak Jordan.
Mukhamed SulaimanovNortheast Georgia Medical Center Gainesville Florida USA.
Bita AmiriCardiovascular Research Center Tabriz University of Medical Sciences Tabriz Iran.
Mohammed Dheyaa Marsool MarsoolAl-kindy College of Medicine University of Baghdad Baghdad Iraq.ORCID 0000-0002-3481-4534
Omniat Amir HussinInternal Medicine Al Manhal University Academy of Science Khartoum North Sudan.ORCID 0000-0002-5021-263X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Subclinical leaflet thrombosis (SLT) develops in 15% of patients undergoing trans-catheter aortic valve replacement (TAVR). TAVR is a procedure in which a faulty aortic valve is replaced with a mechanical one. An aortic valve replacement can be done with open-heart surgery; this is called surgical aortic valve replacement (SAVR). A significant problem is defining the best course of treatment for asymptomatic individuals with SLT post-TAVR, including the use of oral anticoagulation (OAC) in it. Study design: Systematic review. Method: The most pertinent published research (original papers and reviews) in the scientific literature were searched for and critically assessed using the online, internationally indexed databases PubMed, Medline, and Cochrane Reviews. Keywords like "Transcatheter valve replacement" and "Subclinical leaflet thrombosis" were used to search the papers. Selected studies were critically assessed for inclusion based on predefined criteria. Results: The review examined the prevalence and characteristics of SLT after TAVR. To note, the incidence of SLT is seen to be higher in TAVR compared SAVR. Dual antiplatelet therapy, which is utilized in antithrombotic regimens post-TAVR, can possibly hasten SLT progression which could result in the impaired mobility of leaflets and the worsening of pressure gradients. Conclusion: The use of dual antiplatelet drugs in routine antithrombotic therapy tends to accelerate initial subclinical leaflet thrombosis after TAVI, which results in a developing restriction of leaflet mobility and an increase in pressure differences.

Indexed as

anticoagulantantiplatelet therapiesantithromboticimplantationsurgical aortic valve replacementtranscatheter aortic valve replacement

Identifiers

PMID38933424
PMCPMC11199189

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.