Evidence map›Paper›PMID 39474055›Full record

ReviewEuropean heart journal. Imaging methods and practice2024

How to address the coronaries in TAVI candidates: can the need for revascularization be safely determined by CT angiography only?

Katharina Theresa Julia Mascherbauer, Gudrun Lamm, Andreas Anselm Kammerlander, Maximilian Will, Christian Nitsche, Roya Anahita Mousavi, Caglayan Demirel, Philipp Emanuel Bartko, Konstantin Schwarz, Christian Hengstenberg and 1 more

Abstract readReview
In one paragraph

Review in European heart journal. Imaging methods and practice, 2024. 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. Review
  2. 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

11 authors.

Katharina Theresa Julia MascherbauerDepartment of Internal Medicine 2, Division of Cardiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-9681-1833
Gudrun LammDepartment of Internal Medicine 3, University Hospital St. Pölten, Karl Landsteiner University of Health Sciences, Dunant-Platz 1, 3100 Krems, Austria.
Andreas Anselm KammerlanderDepartment of Internal Medicine 2, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Maximilian WillDepartment of Internal Medicine 3, University Hospital St. Pölten, Karl Landsteiner University of Health Sciences, Dunant-Platz 1, 3100 Krems, Austria.
Christian NitscheDepartment of Internal Medicine 2, Division of Cardiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-0141-7639
Roya Anahita MousaviDepartment of Internal Medicine 3, University Hospital St. Pölten, Karl Landsteiner University of Health Sciences, Dunant-Platz 1, 3100 Krems, Austria.
Caglayan DemirelDepartment of Internal Medicine 2, Division of Cardiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0009-0001-1966-0637
Philipp Emanuel BartkoDepartment of Internal Medicine 2, Division of Cardiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-9061-4839
Konstantin SchwarzDepartment of Internal Medicine 3, University Hospital St. Pölten, Karl Landsteiner University of Health Sciences, Dunant-Platz 1, 3100 Krems, Austria.
Christian HengstenbergDepartment of Internal Medicine 2, Division of Cardiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-8284-2994
Julia MascherbauerDepartment of Internal Medicine 3, University Hospital St. Pölten, Karl Landsteiner University of Health Sciences, Dunant-Platz 1, 3100 Krems, Austria.ORCID https://orcid.org/0000-0001-7478-1450

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary artery disease (CAD) remains one of the most frequent comorbidities among transcatheter aortic valve implantation (TAVI) candidates. Whether routine assessment of CAD by invasive coronary angiography (CA) and eventual peri-procedural percutaneous coronary intervention (PCI) is generally beneficial in TAVI patients has recently been heavily questioned. CA carries significant risks, such as kidney injury, bleeding, and prolonged hospital stay, and may frequently be unnecessary if significant stenoses of the proximal coronary segments can be ruled out on computed tomography angiography. Moreover, the benefits of pre-emptive coronary revascularization at the time of TAVI are not well defined. Despite these facts and weak guideline recommendations, CA and eventual PCI of stable significant coronary lesions at the time of TAVI remain common practice. However, ongoing randomized trials currently challenge the efficacy of such strategies to enable a more streamlined, individualized, and resource-sparing treatment with TAVI.

Indexed as

computed tomographycoronary angiographypercutaneous coronary interventionTAVI

Identifiers

PMID39474055
PMCPMC11518922

What OpenQuestion holds

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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.