Evidence map›Paper›PMID 41246815›Full record

ArticleJournal of the American Heart Association2025

Impact of Left Atrial v-Wave Following Mitral Edge-to-Edge Repair on Survival: The MITRA-PRO Registry.

Dennis Rottländer, Jörg Hausleiter, Thomas Schmitz, Alexander Bufe, Melchior Seyfarth, Ralph S von Bardeleben, Harald Beucher, Taoufik Ouarrak, Steffen Schneider, Peter Boekstegers and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 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. 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.

Dennis RottländerDepartment of Cardiology, Faculty of Health Witten, Witten/Herdecke University Witten Germany.ORCID 0000-0002-8789-9092
Jörg HausleiterDepartment of Cardiology Klinikum der Universität München, Ludwig-Maximilians-Universität Munich Germany.ORCID 0000-0003-2909-7961
Thomas SchmitzDepartment of Cardiology Elisabeth Krankenhaus Essen Germany.
Alexander BufeDepartment of Cardiology, Faculty of Health Witten, Witten/Herdecke University Witten Germany.ORCID 0009-0002-1991-2416
Melchior SeyfarthDepartment of Cardiology, Faculty of Health Witten, Witten/Herdecke University Witten Germany.ORCID 0000-0002-9473-8262
Ralph S von BardelebenDepartment of Cardiology University Medical Center of Mainz Mainz Germany.ORCID 0000-0002-1356-0037
Harald BeucherDepartment of Cardiology Helios Klinikum Siegburg Siegburg Germany.
Taoufik OuarrakInstitut für Herz-Infarkt Forschung Ludwigshafen Germany.ORCID 0000-0001-7742-4408
Steffen SchneiderInstitut für Herz-Infarkt Forschung Ludwigshafen Germany.ORCID 0000-0003-3256-0726
Peter BoekstegersDepartment of Cardiology, Faculty of Health Witten, Witten/Herdecke University Witten Germany.ORCID 0009-0006-2243-9809
MITRA‐PRO Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscatheter edge-to-edge repair (TEER) for mitral regurgitation has been shown to affect left atrial pressure (LAP). However, the prognostic significance of postprocedural LAP changes remains a matter of debate. We aimed to evaluate the impact of v-wave on long-term survival after TEER.

methodsA total of 1487 patients in the large-scale, multicenter MITRA-PRO (MITRAclip PROgnosis) registry with post-mitral TEER v-wave assessment were included in this study.

resultsAfter 3-years, survival was significantly reduced in patients with increased v-wave after mitral TEER, while patients with decreased v-wave showed the lowest 3-year mortality. A receiver operating characteristic analysis revealed a postprocedural v-wave >25 mm Hg as a relevant predictor of 3-year mortality following mitral TEER. Three-year mortality was significantly lower in patients with a v-wave ≤25 mm Hg indicating a postprocedural v-wave >25 mm Hg as a negative predictor of long-term survival (v-wave ≤25 mm Hg group: 34.2% versus v-wave >25 mm Hg group: 46.8%;

conclusionsA postprocedural v-wave >25 mm Hg is linked to reduced long-term survival. Multimodal residual mitral regurgitation assessment including v-wave supports the interventionalist in TEER guidance and optimizing procedural results aiming for decreasing v-wave to <25 mm Hg. REGISTRATION: URL: https://drks.de/search/en/trial/DRKS00012288; German Clinical Trials Register identifier: DRKS00012288.

Indexed as

Atrial Function, LeftAtrial PressureCardiac CatheterizationHeart AtriaMitral ValveMitral Valve InsufficiencyAgedEchocardiography, TransesophagealFemaleHumansMaleMiddle AgedRegistriesSurvival RateTime FactorsTreatment Outcomeleft atrial pressuremitral regurgitationmitral TEERresidual mitral regurgitationv‐wave

Identifiers

PMID41246815
PMCPMC12887197

What OpenQuestion holds

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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.