Evidence map›Paper›PMID 40822378›Full record

ArticleStructural heart : the journal of the Heart Team2025

Atrioventricular Block After EVOQUE Transcatheter Tricuspid Valve Replacement.

Gautam Rangavajla, Ritik Patel, Felix Nguyen, Brian Vickers, Omar Abdelhai, Brian La Starza, Karl Ilg, Waddah Maskoun, Matthew Ebinger, Marc Lahiri and 17 more

Abstract read
In one paragraph

Article in Structural heart : the journal of the Heart Team, 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. 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

27 authors.

Gautam RangavajlaDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Ritik PatelSchool of Medicine, Wayne State University, Detroit, Michigan, USA.
Felix NguyenDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Brian VickersDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Omar AbdelhaiDepartment of Medicine, Henry Ford Hospital, Detroit, Michigan, USA.
Brian La StarzaDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Karl IlgDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Waddah MaskounDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Matthew EbingerDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Marc LahiriDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Arfaat KhanDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Josh GreenbergDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Georgi FramDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Hussayn AlrayesDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Leo Kar Lok LaiDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Janet WymanDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Sachin ParikhDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Bryan ZweigDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
John DawdyDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Nathaniel BowermanDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Pedro Engel GonzalezDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
William O'NeillDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Pedro VillablancaDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
James LeeDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Brian P O'NeillDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Mohamad RaadDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Tiberio M FrisoliDivision of Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

•Based on a real-world study of 106 Evoque transcatheter tricuspid valve replacement (TTVR) recipients, a total of 14 (25%) cases of new atrioventricular (AV) block occurred after Evoque implantation in the 55 patients without prior pacemakers who met study inclusion criteria. This incidence is similar to that reported in the TRISCEND II clinical trial.•New AV block occurred in a median of 26 hours after Evoque TTVR (interquartile range: 5-60 hours), but there were cases of new AV block that occurred as late as 7 days after the procedure.•Of the 14 new cases of AV block, 12 were treated successfully with implantation of a leadless pacemaker (Micra) under fluoroscopic guidance without procedural complications or compromising the valve implantation.•The institutional strategy of 48-hour post-Evoque inpatient monitoring for all patients followed by mobile cardiac outpatient telemetry identified 11 of 14 cases of new AV block as before discharge from the hospital and 1 case as an outpatient before symptom onset.

Indexed as

AV blockEVOQUEHeart blockPacemakerTTVR

Identifiers

PMID40822378
PMCPMC12357300

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.