Evidence map›Paper›PMID 41563215›Full record

ArticleJACC. Case reports2026

Transcatheter Mitral Valve-in-Valve Replacement: Overcoming an Obstacle Race.

Natalia Nobile, Juan Albistur, Gimena Loza, Pedro Trujillo, Federico Acquistapace, Nahiara Lequini, Alvaro Niggemeyer, Violeta Gonzalez-Salvado, Adolfo Ferrero-Guadagnoli

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 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. 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

9 authors.

Natalia NobileCentro Cardiovascular Universitario, Hospital de Clínicas, Montevideo, Uruguay. Electronic address: natinobile07@gmail.com.
Juan AlbisturCentro Cardiovascular Universitario, Hospital de Clínicas, Montevideo, Uruguay.
Gimena LozaCentro Cardiovascular Universitario, Hospital de Clínicas, Montevideo, Uruguay.
Pedro TrujilloCentro Cardiovascular Universitario, Hospital de Clínicas, Montevideo, Uruguay.
Federico AcquistapaceCentro Cardiovascular Universitario, Hospital de Clínicas, Montevideo, Uruguay.
Nahiara LequiniCentro Cardiovascular Universitario, Hospital de Clínicas, Montevideo, Uruguay.
Alvaro NiggemeyerCentro Cardiovascular Universitario, Hospital de Clínicas, Montevideo, Uruguay.
Violeta Gonzalez-SalvadoServicio de Cardiología, Hospital Clínico Universitario de Santiago, Instituto de Investigación Sanitaria de Santiago, Santiago de Compostela, Spain.
Adolfo Ferrero-GuadagnoliInstituto Nacional de Cirugía Cardíaca, Montevideo, Uruguay.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

case summaryA 74-year-old woman with a mitral bioprosthesis presented with acute heart failure. Mitral bioprosthesis degeneration was diagnosed, and a valve-in-valve procedure was proposed. Several difficulties arose during procedure planning, including the following questions: 1) What is the diagnosis and what treatment could be proposed? 2) What additional studies are recommended for procedural planning? 3) What measures could be taken to prevent LVOT obstruction? 4) Should a cerebral embolic protection device be used despite unfavorable aortic arch anatomy? 5) What approach could be chosen in the setting of a mobile thrombus in the left atrial appendage? 6) What are the steps to perform transcatheter mitral valve-in-valve procedure with the BATMAN technique? and 7) What is the recommended clinical follow-up for this patient? Careful planning allowed the use of different strategies to overcome these challenges, permitting the procedure to be completed successfully and without complications. TAKE-HOME MESSAGES: During complex structural interventional cardiology procedures, multiple challenges may arise. Proper procedural planning is essential to prevent complications and ensure a successful outcome.

Indexed as

acute heart failurecerebral embolic protection deviceleft ventriclemitral valveoutflow tract obstructionthrombusvalve replacement

Identifiers

PMID41563215
PMCPMC13332647

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.