Evidence map›Paper›PMID 40375761›Full record

ArticleEuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology2025

Long-term structural valve deterioration after TAVI: insights from the EORP ESC Valve Durability TAVI Registry.

Cristina Giannini, Davide Capodanno, Gabor G Toth, Stephan Windecker, Stefanie Schüpke, Daniel J Blackman, Stéphane Noble, Hélène Eltchaninoff, Claudia Fiorina, Alaide Chieffo and 11 more

Abstract readMulticenter Study
In one paragraph

Article in EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

21 authors.

Cristina GianniniCardiothoracic and Vascular Department, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Davide CapodannoDivision of Cardiology, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-San Marco", Catania, Italy.
Gabor G TothDepartment of Cardiology, Medical University of Graz, Graz, Austria.
Stephan WindeckerDepartment of Cardiology, University Hospital Bern, Bern, Switzerland.
Stefanie SchüpkeDeutsches Herzzentrum München, Technische Universität München, Munich, Germany.
Daniel J BlackmanDepartment of Cardiology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Stéphane NobleDepartment of Medicine, Cardiology Division, Structural Heart Unit, University Hospital of Geneva, Geneva, Switzerland.
Hélène EltchaninoffDepartment of Cardiology, Rouen Normandie University, CHU Rouen, Rouen, France.
Claudia FiorinaCardiac Catheterization Laboratory and Cardiology, ASST Spedali Civili di Brescia, University of Brescia, Brescia, Italy.
Alaide ChieffoDivision of Metabolic and Cardiovascular Sciences, San Raffaele Scientific Institute, Milan, Italy.
Antonio L BartorelliBiomedical and Clinical Sciences Department, IRCCS Ospedale Galeazzi-Sant'Ambrogio, University of Milan, Milan, Italy.
Albrecht SchmidtUniversity Heart Center Graz, Graz, Austria.
Ole De BackerThe Heart Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Martine GilardInterventional Cardiology Department, Hôpital de la Cavale Blanche, CHU Brest, Brest, France.
Elizabeth CurtisInserm, LTSI-UMR 1099, Université de Rennes, CHU Rennes, Rennes, France.
Guillaume L'OfficialInserm, LTSI-UMR 1099, Université de Rennes, CHU Rennes, Rennes, France.
Erwan DonalInserm, LTSI-UMR 1099, Université de Rennes, CHU Rennes, Rennes, France.
Cécile LarocheRegistries Department, European Society of Cardiology, Sophia Antipolis, France.
Bernard PrendergastDepartment of Cardiology, St Thomas' Hospital, London, United Kingdom.
Anna Sonia PetronioCardiothoracic and Vascular Department, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
On Behalf The European Valve Durability Tavi Registry Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundValve durability is a key consideration as the patient population eligible for transcatheter aortic valve implantation (TAVI) expands to include lower-risk and younger individuals who are expected to live many years after the procedure.

aimsThis registry aimed to assess the incidence of long-term structural valve deterioration (SVD) beyond 5 years post-TAVI.

methodsConsecutive living patients who underwent TAVI up until 2014 using any commercially available transcatheter heart valve (THV) at 22 participant centres were enrolled in the European Valve Durability TAVI Registry. All patients underwent comprehensive echocardiographic assessments (61% were evaluated independently by a central core laboratory) within 6 months of enrolment and at least 5 years post-TAVI; SVD was defined according to Valve Academic Research Consortium 3 definitions.

resultsA total of 597 patients (aged 79.6±7.1 years at the time of TAVI; 47.2% male, mean Society of Thoracic Surgeons score 5.0%) were included. At a median of 6.1 years of follow-up (interquartile range 5.2-7.3 years), the crude incidence of moderate/severe SVD was 9.5% (n=57; moderate: 6.2%, n=37; severe: 3.4%, n=20). Predictors of SVD identified by Cox regression analysis were use of an intra-annular THV (hazard ratio [HR] 38.44, 95% confidence interval [CI]: 10.8-136.3; p<0.001), a small THV size (HR 4.82, 95% CI: 2.42-9.60; p<0.001) and moderate/severe postprocedural paravalvular leak (HR 3.64, 95% CI: 1.59-8.32; p=0.002).

conclusionsThe incidence of moderate/severe SVD during long-term follow-up after TAVI is low, with severe SVD being even rarer than moderate SVD. SVD occurs more frequently in patients treated with older-generation intra-annular valves and in those with small-sized THVs.

Indexed as

Aortic ValveAortic Valve StenosisHeart Valve ProsthesisProsthesis FailureTranscatheter Aortic Valve ReplacementAgedAged, 80 and overEchocardiographyFemaleHumansIncidenceMaleRegistriesRisk FactorsTime FactorsTreatment Outcome

Identifiers

PMID40375761
PMCPMC12063547

What OpenQuestion holds

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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.