Evidence map›Paper›PMID 39041603›Full record

ArticleJournal of the American Heart Association2024

Feasibility, Accuracy, and Reproducibility of Aortic Valve Sizing for Transcatheter Aortic Valve Implantation Using Virtual Reality.

Dominika Kanschik, Jafer Haschemi, Houtan Heidari, Kathrin Klein, Shazia Afzal, Oliver Maier, Kerstin Piayda, Stephan Binneboesssel, Goeksen Oezaslan, Raphael R Bruno 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Dominika KanschikDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.ORCID 0000-0001-7927-8045
Jafer HaschemiDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.ORCID 0000-0001-5578-3880
Houtan HeidariDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.
Kathrin KleinDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.
Shazia AfzalHeartcenter Trier Krankenhaus der Barmherzigen Brueder Trier Germany.ORCID 0000-0002-6312-8146
Oliver MaierDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.ORCID 0000-0002-7277-1213
Kerstin PiaydaDepartment of Cardiology and Angiology University Hospital Giessen und Marburg Giessen Germany.ORCID 0000-0002-9746-7592
Stephan BinneboessselDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.ORCID 0000-0003-0331-1309
Goeksen OezaslanDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.
Raphael R BrunoDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.ORCID 0000-0003-3776-3530
Gerald AntochDepartment of Diagnostic and Interventional Radiology, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.
Artur LichtenbergDepartment of Cardiac Surgery, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.ORCID 0000-0001-8580-6369
Felix FleissnerDepartment of Cardiac Surgery, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.
Maximillian SchernerDepartment of Cardiac Surgery, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.
Malte KelmDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.ORCID 0000-0003-0060-1052
Tobias ZeusDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.ORCID 0000-0002-4517-0068
Christian JungDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty University Hospital and Heinrich-Heine University Duesseldorf Germany.ORCID 0000-0001-8325-250X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDetailed visualization and precise measurements of aortic valve dimensions are critical for the success of transcatheter aortic valve implantation and for the prevention of complications. Currently, multislice computed tomography is the gold standard for assessment of the aortic annulus and surrounding structures to determine the prosthesis size. New technologies such as virtual reality (VR) not only enable 3-dimensional (3D) visualization with the potential to improve understanding of anatomy and pathology but also allow measurements in 3D. This study aims to investigate the feasibility, accuracy, and reproducibility of VR for the visualization of the aortic valve, the surrounding structures, and its role in preprocedural sizing for transcatheter aortic valve implantation. METHODS AND

resultsBased on the preprocedural multislice computed tomography data, 3mensio measurements and 3D visualizations and measurements using VR software were performed retrospectively on 60 consecutive patients who underwent transcatheter aortic valve implantation at our heart center. There were no significant differences but strong correlations between the VR measurements compared with those performed with the 3mensio software. Furthermore, excellent or good intra- and interobserver reliability could be demonstrated for all values. In a structured questionnaire, users reported that VR simplified anatomical understanding, improved 3D comprehension of adjacent structures, and was associated with very good self-perceived depth perception.

conclusionsThe use of VR for preprocedural transcatheter aortic valve implantation sizing is feasible and has precise and reproducible measurements. In addition, 3D visualization improves anatomical understanding and orientation. To evaluate the potential benefits of 3D visualization for planning further cardiovascular interventions, research in this field is needed.

Indexed as

Aortic ValveAortic Valve StenosisFeasibility StudiesHeart Valve ProsthesisImaging, Three-DimensionalMultidetector Computed TomographyTranscatheter Aortic Valve ReplacementVirtual RealityAgedAged, 80 and overFemaleHumansMaleObserver VariationPredictive Value of TestsProsthesis Designaortic valvecardiac computed tomographyimagingtranscatheter aortic valve implantationvirtual reality

Identifiers

PMID39041603
PMCPMC11964034

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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.