Evidence map›Paper›PMID 39424419›Full record

SynthesisJournal of the American Heart Association2024

Trends in Transcatheter Versus Surgical Aortic Valve Replacement Outcomes in Patients With Low-Surgical Risk: A Systematic Review and Meta-Analysis of Randomized Trials.

Sina Kazemian, Parisa Fallahtafti, Mohammad Sharifi, Negin Sadat Hosseini Mohammadi, Hamidreza Soleimani, Arman Soltani Moghadam, Elaheh Karimi, Yaser Sattar, Yaser Jenab, Mehdi Mehrani and 8 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis 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 8 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 4 pooled it
–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

8 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Review
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

18 authors.

Sina KazemianCardiac Primary Prevention Research Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.
Parisa FallahtaftiTehran Heart Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.ORCID 0009-0002-9618-0108
Mohammad SharifiTehran Heart Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.ORCID 0000-0002-9044-3272
Negin Sadat Hosseini MohammadiCardiac Primary Prevention Research Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.ORCID 0000-0002-9477-6584
Hamidreza SoleimaniCardiac Primary Prevention Research Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.ORCID 0000-0003-2802-4613
Arman Soltani MoghadamTehran Heart Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.
Elaheh KarimiTehran Heart Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.
Yaser SattarDepartment of Cardiology West Virginia University Morgantown WV USA.ORCID 0000-0002-1304-5748
Yaser JenabCardiac Primary Prevention Research Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.ORCID 0000-0002-8291-8637
Mehdi MehraniCardiac Primary Prevention Research Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.
Alimohammad HajizeinaliTehran Heart Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.
Mina IskanderDepartment of Medicine-Cardiology Medical College of Wisconsin Milwaukee WI USA.
Mehrshad Fathian SabetDepartment of Internal Medicine McLaren/Flint/Michigan State University Flint MI USA.
Negar SalehiHeart, Vascular and Thoracic Institute, Cleveland Clinic Akron General Hospital Akron OH USA.ORCID 0000-0002-4430-1070
Karim Al-AziziDepartment of Cardiology Baylor Scott and White The Heart Hospital Plano TX USA.ORCID 0000-0003-0195-4984
Diaa HakimCardiovascular Division Brigham & Women's Hospital/Harvard Medical School Boston MA USA.
Mahboob AlamThe Texas Heart Institute, Baylor College of Medicine Houston TX USA.ORCID 0000-0001-9230-9555
Kaveh HosseiniCardiac Primary Prevention Research Center Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences Tehran Iran.ORCID 0000-0001-5676-3099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data exist on long-term outcomes after transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR). This meta-analysis aims to elucidate outcome trends following TAVR versus SAVR in patients with severe aortic stenosis and low-surgical risk. METHODS AND

resultsA systematic search was conducted in PubMed, Embase, Scopus, and the Cochrane Library databases from inception until May 2024, to identify studies comparing TAVR versus SAVR in patients with low-surgical risk (Society of Thoracic Surgeons predicted risk of mortality score <4%). The primary outcome was all-cause mortality. Secondary outcomes included cardiovascular mortality, stroke, disabling stroke, rehospitalization, myocardial infarction, aortic valve reintervention, permanent pacemaker implantation, and new-onset atrial fibrillation. Binary random-effects models were used to compare the risk of each outcome across various follow-up intervals and the risk of bias was assessed using the Cochrane Collaboration's Risk of Bias-2 tool. The meta-analysis included 6 randomized trials including 4682 patients. TAVR was associated with a lower risk of all-cause mortality than SAVR in the 30-day (hazard ratio [HR: 0.45] [95% CI: 0.26-0.77],

conclusionsTAVR was associated with a lower risk of all-cause mortality within the first year of post-procedural follow-up compared with SAVR. However, the risk of all-cause mortality was similar in >1-year follow-ups.

Indexed as

Aortic Valve StenosisHeart Valve Prosthesis ImplantationTranscatheter Aortic Valve ReplacementAortic ValveHumansPostoperative ComplicationsRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTreatment Outcomeaortic stenosislow surgical riskmortalitysurgical aortic valve replacementtranscatheter aortic valve replacement

Identifiers

PMID39424419
PMCPMC11935694

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.