Evidence map›Paper›PMID 41001271›Full record

ArticleCJC open2025

Incidence, Predictors, and Prognostic Impact of Left Ventricular Outflow Tract Obstruction Following Transcatheter Aortic Valve Replacement.

Yuta Kobayashi, Yusuke Enta, Masaki Nakashima, Makoto Saigan, Natsuko Satomi, Yung Teng, Daishi Tazawa, Yoshiko Munehisa, Masataka Taguri, Masaki Hata and 1 more

Abstract read
In one paragraph

Article in CJC open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Yuta KobayashiDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Yusuke EntaDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Masaki NakashimaDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Makoto SaiganDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Natsuko SatomiDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Yung TengDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Daishi TazawaDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Yoshiko MunehisaDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Masataka TaguriDepartment of Health Data Science, Tokyo Medical University Graduate School of Medicine, Tokyo, Japan.
Masaki HataDepartment of Cardiovascular Surgery, Sendai Kousei Hospital, Sendai, Japan.
Norio TadaDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dynamic left ventricular outflow tract obstruction (LVOTO) following transcatheter aortic valve replacement (TAVR) is a potential complication that can cause severe hemodynamic instability. However, limited evidence is available regarding the incidence and predictors of LVOTO post-TAVR. This study aimed to clarify the incidence and identify the predictors of LVOTO following TAVR and to investigate whether LVOTO is associated with clinical outcomes. Methods: This retrospective, single-centre study analyzed 2068 consecutive patients with aortic stenosis who underwent TAVR between January 2014 and December 2023. Transthoracic echocardiography was performed both before and after TAVR. LVOTO was defined as a peak pressure gradient exceeding 30 mm Hg. Results: LVOTO occurred in 25 of 1963 patients (1.3%), with 6 patients developing acute hemodynamic compromise immediately after TAVR. Least absolute shrinkage and selection operator-penalized regression analysis identified the left ventricular outflow tract dimension (LVOTD), interventricular septum (IVS) thickness, transvalvular velocity, LVOT maximum velocity (V Conclusions: The incidence of LVOTO after TAVR was 1.27%. Predictors of LVOTO were the IVS thickness, transvalvular velocity, LVOTD, LVOT V

Indexed as

aortic stenosisleft ventricular outflow tract obstructiontranscatheter aortic valve replacement

Identifiers

PMID41001271
PMCPMC12457202

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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.