Evidence map›Paper›PMID 41467383›Full record

ArticleJournal of the American Heart Association2026

Long-Term Clinical Outcomes of Balloon-Expandable Versus Self-Expanding Transcatheter Aortic Valve Replacement in Patients With Small Aortic Annulus.

Shubhadarshini Pawar, Vivek Patel, Takashi Nagasaka, Prateek Madaan, Amir Ghaffari Jolfayi, Ofir Koren, Dhairya Patel, Tarun Chakravarty, Mamoo Nakamura, Wen Cheng and 4 more

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

14 authors.

Shubhadarshini PawarDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.ORCID 0000-0003-3606-6370
Vivek PatelDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.ORCID 0000-0001-7209-3531
Takashi NagasakaDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.
Prateek MadaanDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.
Amir Ghaffari JolfayiDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.
Ofir KorenDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.
Dhairya PatelDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.
Tarun ChakravartyDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.
Mamoo NakamuraDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.ORCID 0009-0000-5586-3880
Wen ChengDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.
Sabah SkafDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.ORCID 0000-0002-0141-9546
Hasan JilaihawiDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.ORCID 0000-0002-8397-9431
Raj R MakkarDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.
Aakriti GuptaDepartment of Interventional Cardiology, Smidt Heart Institute Cedars Sinai Medical Center Los Angeles CA USA.ORCID 0000-0001-9103-9872

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-expanding valves (SEVs) have demonstrated superior hemodynamic performance and comparable clinical outcomes to balloon-expandable valves (BEVs) at 1 year in patients with a small aortic annulus. However, long-term data are limited. This study aimed to evaluate 5-year echocardiographic and clinical outcomes of SEVs versus BEVs in patients with small aortic annulus underwent transcatheter aortic valve replacement.

methodsWe analyzed RESOLVE registry patients who underwent transcatheter aortic valve replacement at Cedars-Sinai between 2015 and 2020. Patients with a small aortic annulus (<430 mm

resultsAmong 1392 transcatheter aortic valve replacement recipients, 423 (78 SEVs, 345 BEVs) met the small annulus criteria. SEVs were associated with lower transvalvular gradients and larger indexed effective orifice area at discharge and 1 year (

conclusionAlthough SEVs provide better hemodynamic performance in patients with severe aortic stenosis and small annuli, this advantage did not translate into improved survival or reduced cardiovascular events at 5 years.

Indexed as

Aortic ValveAortic Valve StenosisBalloon ValvuloplastyHeart Valve ProsthesisTranscatheter Aortic Valve ReplacementAgedAged, 80 and overEchocardiographyFemaleFollow-Up StudiesHemodynamicsHumansMalePostoperative ComplicationsProsthesis DesignRegistriesballoon‐expandable valvespermanent pacemaker implantationself‐expanding valvessmall aortic annulustranscatheter aortic valve replacement

Identifiers

PMID41467383
PMCPMC12909038

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.