Evidence map›Paper›PMID 41656629›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2026

TAVR in Male Patients With Large Aortic Valve Annuli: A Propensity-Matched Analysis of Balloon-Expandable Versus Self-Expanding Valves.

Lior Zornitzki, Itamar Loewenstein, Shir Frydman, Maayan Konigstein, Jeremy Ben-Shoshan, Yaron Arbel, Israel Barbash, Ran Kornowski, Gabby G Elbaz, Danny Dvir and 3 more

Abstract readComparative Study
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lior ZornitzkiDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Itamar LoewensteinDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Shir FrydmanDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Maayan KonigsteinDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Jeremy Ben-ShoshanDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Yaron ArbelDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Israel BarbashInterventional Cardiology Unit, Leviev Heart and Vascular Center, Chaim Sheba Medical Center, Ramat Gan, Israel affiliated with School of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel.
Ran KornowskiCardiology Department, Rabin Medical Center, Petah Tikva, Israel.ORCID 0000-0002-7708-8253
Gabby G ElbazDepartment of Cardiology, Hadassah Medical Center, Jerusalem, Israel.
Danny DvirDepartment of Cardiology, Shaare Zedek Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Ariel FinkelsteinDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Shmuel BanaiDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Arie SteinvilDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrans-catheter aortic valve replacement (TAVR) in patients with large annuli poses procedural difficulties and possible complications.

aimsWe sought to compare the peri-procedural and long-term outcomes of patients with large annuli undergoing TAVR with self-expanding (SEV) versus balloon-expandable (BEV) valves.

methodsWe conducted propensity score matching (PSM) of consecutive male patients with large aortic annuli (aortic valve area ≥ 540 mm

resultsOverall, 552 patients were included in the current analysis (368 BEV; 184 SEV; age 80.2 ± 8.2 y/o). Baseline characteristics were similar between groups. The rate of peri-procedural cardiopulmonary resuscitation (CPR) (3.9% vs. 0.6%; p = 0.013), hemodynamic instability (5.8% vs. 1.4%; p = 0.022), major or life-threatening bleeding (7.7% vs. 2.8%; p = 0.015) and need for a second valve (3.8% vs. 0.3%) was higher in the SEV versus BEV group. In univariate analysis the 3-year mortality rate was higher in the SEV versus BEV group (29.4% vs. 20.4%; log rank p = 0.02). However, multivariate analysis adjusted for known confounders related to mortality did not show a significant difference between groups.

conclusionsMale patients with large aortic annuli undergoing TAVR with either SEV or BEV have similar rates of in-hospital and long-term mortality, albeit a notably higher rate of peri-procedural complications related to SEVs.

Indexed as

Aortic ValveAortic Valve StenosisBalloon ValvuloplastyHeart Valve ProsthesisTranscatheter Aortic Valve ReplacementAgedAged, 80 and overHumansMalePostoperative ComplicationsPropensity ScoreProsthesis DesignRegistriesRetrospective StudiesRisk AssessmentRisk FactorsBEVlarge annulioutcomesSEVTAVR

Identifiers

PMID41656629
PMCPMC13043804

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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.