Evidence map›Paper›PMID 40558650›Full record

ReviewJournal of cardiovascular development and disease2025

Management of TAVI Underexpansion with Self-Expanding Valves: A Practical Approach.

Rene Hameau, Marco B Ancona, Vittorio Romano, Luca Ferri, Barbara Bellini, Filippo Russo, Ciro Vella, Christos Papageorgiu, Francesca Napoli, Marco Licciardi and 5 more

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 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. Article
  2. Article
  3. 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

15 authors.

Rene HameauInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Marco B AnconaInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0001-7944-9756
Vittorio RomanoInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Luca FerriInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Barbara BelliniInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0003-0187-065X
Filippo RussoInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Ciro VellaInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-3274-881X
Christos PapageorgiuInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Francesca NapoliInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Marco LicciardiInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Gianluca RicchettiInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0009-0000-4427-3404
Andrea TripoliInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0009-0008-0541-0814
Rocco SabareseInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Lorenzo ZaccariaInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0009-0006-8817-7186
Matteo MontorfanoInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0001-9732-9459

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Underexpansion of a self-expanding transcatheter aortic valve (TAVI) is a critical issue that can negatively impact long-term outcomes, including paravalvular leak, valve thrombosis, and increased mortality. This paper provides a comprehensive review of the pathophysiology and consequences of such complications, including three primary mechanisms: (1) infolding, (2) incorrect site of crossing and (3) true underexpansion. It also discusses strategies to address these challenges, including pre-procedural planning and procedural techniques to ensure proper valve deployment and expansion. Mitigating these issues is essential to improving both immediate and long-term outcomes in TAVI patients.

Indexed as

infoldingTAVIunderexpansion

Identifiers

PMID40558650
PMCPMC12193608

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.