Evidence map›Paper›PMID 39290681›Full record

ArticleStructural heart : the journal of the Heart Team2024

A Novel Risk Score Facilitates Femoral Artery Access in Transcatheter Aortic Valve Implantation: Passage-Puncture Score.

Mi Chen, Jonathan Michel, Barbara E Stähli, Christian Templin, Philipp Jakob, Thomas S Gilhofer, Felix C Tanner, Albert Markus Kasel

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Article in Structural heart : the journal of the Heart Team, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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

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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

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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. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Mi ChenDepartment of Cardiology, University Heart Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Jonathan MichelDepartment of Cardiology, University Heart Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Barbara E StähliDepartment of Cardiology, University Heart Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Christian TemplinDepartment of Cardiology, University Heart Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Philipp JakobDepartment of Cardiology, University Heart Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Thomas S GilhoferDepartment of Cardiology, University Heart Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Felix C TannerDepartment of Cardiology, University Heart Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Albert Markus KaselDepartment of Cardiology, University Heart Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vascular complications remain high in transfemoral transcatheter aortic valve implantation (TAVI). Careful evaluation of the femoral arteries is important to select the optimal access site. Objectives: This study sought to describe a novel risk score (the passage-puncture score) for transfemoral access using a single suture-based closure system. Methods: The passage-puncture score consists of the evaluation of 1) passage feasibility of the ilio-femoral arteries (passage score) and 2) puncture site feasibility (puncture score) based on pre-TAVI computed tomography. All patients underwent fluoroscopy-guided arterial puncture and closure with a suture-based closure system. The primary endpoint was the rate of vascular complications in discharge, including minor and major vascular complications according to the definitions of the Third Valve Academic Research Consortium. Results: From September 2020 to June 2021, transfemoral TAVI was performed in 98 of 99 patients. Passage score (right) was significantly higher in patients treated by left compared to those treated by right femoral access (3 vs. 1; Conclusions: The passage-puncture score is effective in defining the optimal access site for transfemoral TAVI. The systematic evaluation has the potential to further reduce access-site complications.

Indexed as

Transcatheter aortic valve implantationTransfemoral approachVascular closure deviceVascular complication

Identifiers

PMID39290681
PMCPMC11403084

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