Evidence map›Paper›PMID 40895422›Full record

ArticleStructural heart : the journal of the Heart Team2025

Neo-Sinus Washout Time Following Transcatheter Aortic Valve Replacement and Hemodynamic Outcomes.

Shivabalan Kathavarayan Ramu, Toshiaki Isogai, Saksham Beotra, Vishwum Kapadia, Nikita Thakore, Ankit Agrawal, Shashank Shekhar, Maryam Muhammad Ali Majeed-Saidan, Rohan Prasad, Agam Bansal and 11 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. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

21 authors.

Shivabalan Kathavarayan RamuDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Toshiaki IsogaiDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Saksham BeotraDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Vishwum KapadiaDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Nikita ThakoreDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Ankit AgrawalDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Shashank ShekharDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Maryam Muhammad Ali Majeed-SaidanDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Rohan PrasadDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Agam BansalDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Abdelrahman AbushoukDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Odette IskandarDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Larisa G TereshchenkoDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Grant ReedDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Rishi PuriDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
James YunDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Serge HarbDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Rhonda MiyasakaDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Zoran PopovicDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Amar KrishnaswamyDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.
Samir R KapadiaDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland, Ohio, USA.

Funding

American Heart Association-American Stroke Association 23IPA1054947American Heart Association-American Stroke Association 23TPA1141088
6 · The paper itself

Abstract

Background: Leaflet thrombosis and transcatheter heart valve dysfunction are key concerns following transcatheter aortic valve replacement (TAVR). Prolonged neo-sinus washout time (NWT) may predispose patients to hypoattenuated leaflet thickening (HALT) and leaflet thrombosis, increasing the risk of valve degeneration. This study evaluates the association between in vivo NWT derived from aortograms using computer vision and hemodynamic outcomes at 30 days and 1 year post-TAVR. Methods: We retrospectively analyzed 2254 patients (mean age: 79 ​± ​9 years, 40% female) who underwent TAVR with balloon-expandable valves between 2016 and 2020. Patients were tertile stratified into tertile 1 (T1) (1.444-1.870 ​s; n ​= ​752), T2 (1.870-1.939 ​s; n ​= ​752), and T3 (1.939-2.110 ​s; n ​= ​751) based on their NWTs. Results: At 30 days, T3 had a higher transvalvular aortic valve mean gradient than T1 (12.61 ​± ​5.07 mmHg vs. 11.98 ​± ​4.75 mmHg, Conclusions: Prolonged NWT is associated with higher transvalvular gradients and independently predicts HALT post-TAVR. NWT may serve as a novel marker to identify patients at risk of valve dysfunction and guide early pharmacotherapy.

Indexed as

Bioprosthetic valve dysfunctionNeo-sinus washout timeTranscatheter aortic valve replacement

Identifiers

PMID40895422
PMCPMC12395173

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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.