Evidence map›Paper›PMID 41238236›Full record

ArticleJACC. Case reports2025

Reducing TAVR Vascular Complications Through Multidisciplinary Process Optimization.

Misty L Theriot, Edward C Bergen, J Gregory Lugo, Whitney M Graham

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 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. Peripheral vessel tortuosity index and prognosis in patients undergoing transcatheter aortic valve implantation.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    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

4 authors.

Misty L TheriotHeart & Vascular Center, Lake Charles Memorial Hospital, Lake Charles, Louisiana, USA.
Edward C BergenHeart & Vascular Center, Lake Charles Memorial Hospital, Lake Charles, Louisiana, USA. Electronic address: ebergen@lcmh.com.
J Gregory LugoHeart & Vascular Center, Lake Charles Memorial Hospital, Lake Charles, Louisiana, USA.
Whitney M GrahamCardiac Catheterization Laboratory, Lake Charles Memorial Hospital, Lake Charles, Louisiana, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascular complications associated with transcatheter aortic valve replacement (TAVR) can prolong procedures, require additional interventions, extend hospital stays, delay recovery, and increase costs. PROJECT RATIONALE: Lake Charles Memorial Hospital identified a higher prevalence of peripheral artery disease in its TAVR population, compared with national benchmarks. This increased burden of complex vascular anatomy was initially associated with higher complication rates, prompting targeted prevention strategies to improve safety and outcomes. PROJECT SUMMARY: A multidisciplinary team used root-cause analyses and iterative plan-do-study-act cycles to integrate micropuncture, ultrasound guidance, fluoroscopic road mapping, closure strategies, and enhanced staff education into standardized workflows. From 2018 to the second quarter of 2025, complication rates decreased from 11.7% to 1.9%, procedure times improved from 77 to 49 minutes, and hospital stays shortened, generating a net savings of over $86,000. TAKE-HOME MESSAGE: Phased, technology-enabled access strategies, supported by a multidisciplinary team, can reduce complications and improve the efficiency of TAVR programs.

Indexed as

aortic valvehealth care economicsvalve replacementvascular disease

Identifiers

PMID41238236
PMCPMC12676166

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.