Evidence map›Paper›PMID 41349149›Full record

ArticleJACC. Advances2026

Percutaneous Edge-to-Edge Repair of Atrioventricular Valves in Congenital Heart Disease: A Multicenter Clinical Experience.

Leor Perl, Antonio Popolo Rubbio, Francesco Bedogni, Gerard Martí, Yassin Belahnech, Nicola Buzzatti, Raffaele Esposito, Amos Levi, Rafael Hirsch, Shimon Kolker and 5 more

Abstract read
In one paragraph

Article in JACC. Advances, 2026. 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. Review
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

15 authors.

Leor PerlDivision of Cardiology, Rabin Medical Center - Beilinson Hospital, Petah-Tikva, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel. Electronic address: https://twitter.com/LeorPerl.
Antonio Popolo RubbioIRCCS Policlinico San Donato, Department of Clinical and Interventional Cardiology, Milan, Italy.
Francesco BedogniIRCCS Policlinico San Donato, Department of Clinical and Interventional Cardiology, Milan, Italy.
Gerard MartíDepartment of Cardiology, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Yassin BelahnechDepartment of Cardiology, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Nicola BuzzattiDepartment of Cardiac Surgery, Heart Valve Center, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Raffaele EspositoDepartment of Cardiac Surgery, Heart Valve Center, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Amos LeviDivision of Cardiology, Rabin Medical Center - Beilinson Hospital, Petah-Tikva, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Rafael HirschDivision of Cardiology, Rabin Medical Center - Beilinson Hospital, Petah-Tikva, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Shimon KolkerDivision of Cardiology, Rabin Medical Center - Beilinson Hospital, Petah-Tikva, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Yaron ShapiraDivision of Cardiology, Rabin Medical Center - Beilinson Hospital, Petah-Tikva, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Fernando SarnagoDepartment of Cardiology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Iván Gómez BlazquezDepartment of Cardiology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Francesco MaisanoDepartment of Cardiac Surgery, Heart Valve Center, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Ran KornowskiDivision of Cardiology, Rabin Medical Center - Beilinson Hospital, Petah-Tikva, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscatheter edge-to-edge repair (TEER) has become an established treatment for symptomatic atrioventricular valve regurgitation (AVVR). In congenital heart disease (CHD), AVVR is a major determinant of clinical outcomes. For these patients, surgery often poses high risk, underscoring the importance of percutaneous therapy. However, data supporting TEER in patients with CHD remain limited.

objectivesThe objectives of the study were to examine the outcomes of TEER in CHD patients across several centers and to discuss the procedural considerations.

methodsWe conducted a retrospective review of atrioventricular TEER procedures performed on CHD patients across 5 medical centers. We analyzed patient demographics, procedural details, immediate (30 days), and intermediate (6-month) outcomes.

resultsA total of 20 patients with various CHD diagnoses underwent TEER, of which 18 reached the 6-month follow-up. The median age was 49.3 (Q1-Q3: 37.0-59.8) years and 40.0% were females. All cases were performed on the systemic circulation, 60.0% were tricuspid valves. All patients presented with symptomatic 3+ or 4+ degree AVVR at baseline, which was reduced to mild-to-moderate (1+ to 2+) in 19 patients (95.0%) at 30 days (P < 0.001). One death (5.0%) occurred in the first 30 days due to intractable heart failure; rates of NYHA functional class III-IV were reduced from 18 (90.0%) of the patients at baseline to 10.5% at 30 days.

conclusionsTEER for carefully selected patients with CHD and severe AVVR was safe and effective with notable improvements in regurgitation and clinical symptoms. Our findings highlight important considerations for planning and implementation of TEER in this patient population.

Indexed as

congenital heart diseasecongenitally correctedmitral regurgitationtetralogy of Fallottransposition of the great arteriestricuspid regurgitation

Identifiers

PMID41349149
PMCPMC12869891

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.