Evidence map›Paper›PMID 39365396›Full record

ArticleJournal of cardiovascular translational research2025

4D-Flow MRI and Vector Ultrasound in the In-Vitro Evaluation of Surgical Aortic Heart Valves - a Pilot Study.

Henrik Stephan, Linda Grefen, Dirk Clevert, Meike Onkes, Jin Ning, Nikolaus Thierfelder, Petra Mela, Christian Hagl, Adrian Curta, Maximilian Grab

Abstract readComparative Study
In one paragraph

Article in Journal of cardiovascular translational research, 2025. 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

10 authors.

Henrik StephanDepartment of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany.
Linda GrefenDepartment of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany.
Dirk ClevertDepartment of Radiology, LMU University Hospital, Munich, Germany.
Meike OnkesDepartment of Radiology, LMU University Hospital, Munich, Germany.
Jin NingSiemens Healthineers AG, Erlangen, Germany.
Nikolaus ThierfelderDepartment of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany.
Petra MelaChair of Medical Materials and Implants, Department of Mechanical Engineering, TUM School of Engineering, and Design, Munich Institute of Biomedical Engineering, Technical University of Munich, Munich, Germany.
Christian HaglDepartment of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany.
Adrian Curta *Department of Radiology, LMU University Hospital, Munich, Germany.
Maximilian Grab *Department of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany. Maximilian.grab@med.uni-muenchen.de.ORCID 0000-0002-3158-9095

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study was the initial investigation of 4D-Flow MRI and Vector Ultrasound as novel imaging techniques in the in-vitro analysis of hemodynamics in anatomical models. Specifically, by looking at the hemodynamic performance of state-of-the-art surgical heart valves in a 3D-printed aortic arch.

methodsThe mock circulatory loop simulated physiological, pulsatile flow. Two mechanical and three biological aortic valves prostheses were compared in a 3D-printed aortic arch. 4D magnetic resonance imaging and vector flow Doppler ultrasound served as imaging methods. Hemodynamic parameters such as wall shear stress, flow velocities and pressure gradients were analyzed.

resultsThe flow analysis revealed characteristic flow-patterns in the 3D-printed aortic arch. The blood-flow in the arch presented complex patterns, including the formation of helixes and vortices. Higher proximal peak velocities and lower flow volumes were found for biological valves.

conclusionThe mock circulatory loop in combination with modern radiological imaging provides a sufficient basis for the hemodynamic comparison of aortic valves.

Indexed as

Aorta, ThoracicAortic ValveBioprosthesisEchocardiography, DopplerHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHemodynamicsMagnetic Resonance ImagingBlood Flow VelocityHumansModels, AnatomicModels, CardiovascularPilot ProjectsPredictive Value of TestsPrinting, Three-DimensionalProsthesis Design3D-Printing4D-MRISurgical Heart ValveVector Ultrasound

Identifiers

PMID39365396
PMCPMC11885334

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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.