Evidence map›Paper›PMID 38979790›Full record

ArticleJournal of the American Heart Association2024

Cerebrovascular Disease Detected on Preprocedural Computed Tomography in Patients With Severe Aortic Stenosis Undergoing Aortic Valve Replacement.

Ko Yamamoto, Hiroyuki Ueda, Daiji Uchiyama, Yasuaki Takeji, Tomohiko Taniguchi, Takeshi Morimoto, Hiroyuki Tabata, Kenichi Ishizu, Toru Morofuji, Masaomi Hayashi and 7 more

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. 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

17 authors.

Ko YamamotoDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.ORCID 0000-0002-9291-9617
Hiroyuki UedaDepartment of Radiology Kokura Memorial Hospital Kitakyushu Japan.
Daiji UchiyamaDepartment of Radiology Kokura Memorial Hospital Kitakyushu Japan.
Yasuaki TakejiDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.ORCID 0000-0001-7101-0351
Tomohiko TaniguchiDepartment of Cardiovascular Medicine Kobe City Medical Center General Hospital Kobe Japan.ORCID 0000-0002-4999-3432
Takeshi MorimotoDepartment of Clinical Epidemiology Hyogo College of Medicine Nishinomiya Japan.ORCID 0000-0002-6844-739X
Hiroyuki TabataDepartment of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences Kagoshima University Kagoshima Japan.
Kenichi IshizuDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.ORCID 0000-0003-3551-5525
Toru MorofujiDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.ORCID 0009-0009-7604-1849
Masaomi HayashiDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.
Akihiro IsotaniDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.ORCID 0000-0002-6459-0578
Shinichi ShiraiDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.ORCID 0000-0002-4764-8205
Nobuhisa OhnoDepartment of Cardiovascular Surgery Kokura Memorial Hospital Kitakyushu Japan.ORCID 0000-0002-6937-2019
Shinichi KakumotoDepartment of Anesthesiology Kokura Memorial Hospital Kitakyushu Japan.ORCID 0000-0002-6304-7717
Kenji AndoDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.ORCID 0000-0003-0699-4248
Kenji MinatoyaDepartment of Cardiovascular Surgery, Graduate School of Medicine Kyoto University Kyoto Japan.ORCID 0000-0001-7828-9762
Takeshi KimuraDepartment of Cardiology Hirakata Kohsai Hospital Hirakata Japan.ORCID 0000-0002-5665-4076

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a scarcity of data on the prevalence and clinical impact of cerebrovascular disease detected on preprocedural computed tomography (CT) before aortic valve replacement (AVR) in patients with severe aortic stenosis. METHODS AND

resultsAmong patients with severe aortic stenosis undergoing AVR, the authors compared clinical outcomes between patients with and without cerebrovascular disease detected on preprocedural CT, which was defined as chronic brain infarction or hemorrhage. The primary outcome measure in this study was a composite of all-cause death or stroke. Among 567 study patients, 200 patients (35.3%) had cerebrovascular disease on preprocedural CT. Among 200 patients with cerebrovascular disease on preprocedural CT, only 28.5% of patients had a clinical history of symptomatic stroke. The cumulative 3-year incidence of death or stroke was higher in patients with cerebrovascular disease on preprocedural CT than in those without cerebrovascular disease on preprocedural CT (40.7% versus 24.1%, log-rank

conclusionsAmong patients with severe aortic stenosis undergoing AVR, a substantial proportion had cerebrovascular disease on preprocedural CT, with a clinical history of symptomatic stroke in one-fourth of patients. Regardless of history of symptomatic stroke, patients with cerebrovascular disease on preprocedural CT had worse clinical outcomes compared with those without cerebrovascular disease on preprocedural CT.

Indexed as

Aortic Valve StenosisHeart Valve Prosthesis ImplantationSeverity of Illness IndexAgedAged, 80 and overAortic ValveCerebrovascular DisordersFemaleHumansIncidenceMaleMiddle AgedPredictive Value of TestsPrevalenceRetrospective StudiesRisk Assessmentaortic stenosisaortic valve replacementcomputed tomographycovert cerebrovascular diseasestroke

Identifiers

PMID38979790
PMCPMC11292776

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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.