Evidence map›Paper›PMID 41405821›Full record

ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2026

Incidence and trends of patient MACE outcomes after Transcatheter Aortic Valve Implantation (TAVI): analysis by age and sex.

Tsvetan R Yordanov, Hatem Al-Farra, Anita C J Ravelli, Saskia Houterman, Bas Ajm de Mol, Toon A Winkelman, Leo Timmers, Marije Vis, Pim Tonino, Ronak Delewi and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07509554 (Investigation of the Relationship Between Changes in Modern Wave-Based Hemodynamic Metrics and Procedural Success or Clinical Improvement in Patients With Severe Aortic Stenosis Following Transcatheter Aortic Valve Replacement), which is not on this 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.

NCT07509554 not yet recruitingnot on this map

Investigation of the Relationship Between Changes in Modern Wave-Based Hemodynamic Metrics and Procedural Success or Clinical Improvement in Patients With Severe Aortic Stenosis Following Transcatheter Aortic Valve Replacement (TAVR)

Typeobservational_patient_registrySponsorIstanbul Mehmet Akif Ersoy Educational and Training HospitalRan2026 to 2029Enrolled100ConditionsAortic StenosisArmsTranscatheter aortic valve replacement (TAVR / TAVI)
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

13 authors.

Tsvetan R YordanovDepartment of Medical Informatics, Amsterdam UMC, location University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-0554-6646
Hatem Al-FarraDepartment of Medical Informatics, Amsterdam UMC, location University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-5538-4660
Anita C J RavelliDepartment of Medical Informatics, Amsterdam UMC, location University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-3447-8286
Saskia HoutermanNetherlands Heart Registration, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-8680-1380
Bas Ajm de MolHeart Centre, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-6888-9430
Toon A WinkelmanDepartment of Cardiothoracic Surgery, Amsterdam UMC, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-8873-4839
Leo TimmersDepartment of Cardiology, Sint Antonius Hospital, Nieuwegein, The Netherlands.ORCID http://orcid.org/0000-0001-9788-9392
Marije VisAmsterdam Public Health, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-1284-4492
Pim ToninoDepartment of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.ORCID http://orcid.org/0000-0002-2099-5426
Ronak DelewiDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-6070-9423
Ameen Abu-HannaDepartment of Medical Informatics, Amsterdam UMC, location University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-4324-7954
José P S HenriquesHeart Centre, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. j.p.henriques@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-8969-7929
NHR THI Registration Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients undergoing a transcatheter aortic valve implantation (TAVI) are at risk for Major Adverse Cardiac Events (MACE). We describe temporal trends of TAVI-related MACEs, stratified by age and sex.

methodsWe performed a retrospective analysis of TAVI patients from the Netherlands Heart Registration (NHR) between 2013 and 2022. The outcomes were: mortality at 30 days, mortality at one year, permanent pacemaker implantation at 30 days (PPI), major vascular complication at 30 days (MVC), and stroke at three days. We calculated incidence and trends in TAVI patients and their outcomes.

resultsThe cohort consisted of 19,746 TAVI patients, with a mean age of 80 years. The annual number of TAVI procedures increased over the years from 786 to 2876 (p < 0.001). Initially, more women received TAVI, but the trend shifted over time to more men (p < 0.001). Outcomes incidence was: 30-day mortality (3.3%), one-year mortality (10.6%), PPI (10.7%), MVC (2.9%), and stroke (2.0%). Incidence of both mortality outcomes decreased over time (6.7% to 2.7%, and 15.8% to 8.8% for 30-day and one-year mortality, respectively), as did PPI (12.3% to 10.4%) and MVC (3.6% to 2.5%). Women had a higher incidence of MVC and stroke. Men had a higher incidence of one-year mortality and PPI, and their incidence increased more with age than it did in women.

conclusionThe volume of TAVI procedures has increased significantly over time, while mortality, PPI, MVC, and MACE incidence have significantly decreased. Sex-specific differences in MACE outcome incidence were present.

Indexed as

MortalityPermanent pacemaker implantationSex FactorsStrokeTime FactorsTranscatheter Aortic Valve Implantation

Identifiers

PMID41405821
PMCPMC12779812

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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.