Evidence map›Paper›PMID 40530488›Full record

Observational studyJournal of the American Heart Association2025

Natural History of Tricuspid Regurgitation After Transcatheter Aortic Valve Implantation.

James A Brown, Jack Donohue, Sarah Yousef, Nidhi Iyanna, Danial Ahmad, Dustin Kliner, Catalin Toma, Derek Serna-Gallegos, Amber Makani, David West and 3 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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

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

1 citing paper in PubMed.

  1. Prognostic Impact of Pacemaker Implantation in Transcatheter Aortic Valve Replacement With Self-Expanding Prosthesis.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Observational
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

13 authors.

James A BrownDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.ORCID 0000-0002-2263-8318
Jack DonohueDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.
Sarah YousefDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.ORCID 0000-0002-2333-1086
Nidhi IyannaDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.
Danial AhmadDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.
Dustin KlinerHeart and Vascular Institute, University of Pittsburgh Medical Center Pittsburgh PA USA.
Catalin TomaHeart and Vascular Institute, University of Pittsburgh Medical Center Pittsburgh PA USA.
Derek Serna-GallegosDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.ORCID 0000-0002-5991-6385
Amber MakaniHeart and Vascular Institute, University of Pittsburgh Medical Center Pittsburgh PA USA.ORCID 0000-0002-1896-4540
David WestDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.
Irsa HasanDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.
Takuya OgamiDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.ORCID 0000-0001-6659-2617
Ibrahim SultanDivision of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA.ORCID 0000-0002-1737-4012

Funding

Cardiothoracic Surgery Research Training ProgramT32HL160526 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JAMES D LUKETICH, Julie A Phillippi · 2022 to 2026
$1.5M
NHLBI NIH HHS T32 HL160526
6 · The paper itself

Abstract

backgroundTo determine the impact of tricuspid regurgitation (TR) on outcomes after transcatheter aortic valve implantation (TAVI), and to determine the evolution of TR severity after TAVI.

methodsThis was an observational study of TAVIs for aortic stenosis from November 2012 to December 2021. Patients were dichotomized according to the severity of pre-TAVI TR: less than moderate versus moderate or greater. Logistic regression was used to determine the risk factors for progression or persistence of moderate or greater TR at 1 year after TAVI.

resultsA total of 2250 patients were included for analysis, of which 301 (13.4%) had moderate or greater TR before TAVI. Baseline moderate or greater TR was associated with reduced survival and a higher incidence of heart failure readmission at 5 years after TAVI. Twelve percent of patients had progression or persistence of moderate or greater TR at 1 year after TAVI. On multivariable logistic regression, increasing age, female sex, lower mean pre-TAVI aortic transvalvular pressure gradient, pulmonary artery systolic pressure ≥40 mm Hg, pulmonary vascular disease, and transfemoral vascular access were associated with progression or persistence of moderate or greater TR at 1 year after TAVI, while periprocedural variables related to valve implantation were not.

conclusionsSignificant TR before TAVI was associated with poor outcomes after TAVI. The incidence of moderate or greater TR at 1 year after TAVI was reasonable at 12%. Periprocedural factors, such as valve size, type of implanted valve, and paravalvular leak, were not associated with the development of TR. Evolution of TR and heart failure symptoms must be carefully surveilled after TAVI.

Indexed as

Aortic Valve StenosisPostoperative ComplicationsTranscatheter Aortic Valve ReplacementTricuspid Valve InsufficiencyAgedAged, 80 and overDisease ProgressionFemaleHumansIncidenceMaleRetrospective StudiesRisk FactorsSeverity of Illness IndexTime FactorsTreatment Outcomeaortic stenosistranscatheter aortic valve implantationtricuspid regurgitation

Identifiers

PMID40530488
PMCPMC12450012

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.