Evidence map›Paper›PMID 41848051›Full record

Observational studyJournal of the American Heart Association2026

Simple Index for Identifying Patients at Increased Risk of Suboptimal Forward-Flow Hemodynamics After Transcatheter Aortic Valve Replacement.

Pier Pasquale Leone, Damiano Regazzoli, Matteo Sturla, Antonella Millin, Matteo Pagnesi, Juan Torrado, Julio Echarte-Morales, Francesco Cannata, Rui Campante Teles, Marianna Adamo and 21 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study 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. Not yet cited in PubMed.

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

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

31 authors.

Pier Pasquale LeoneDivision of Cardiology, Montefiore Medical Center Albert Einstein College of Medicine Bronx NY USA.ORCID 0000-0002-0561-4760
Damiano RegazzoliCardio Center IRCCS Humanitas Research Hospital Rozzano, Milan Italy.
Matteo SturlaDivision of Cardiology, Montefiore Medical Center Albert Einstein College of Medicine Bronx NY USA.ORCID 0000-0002-1096-962X
Antonella MillinDivision of Cardiology, Montefiore Medical Center Albert Einstein College of Medicine Bronx NY USA.ORCID 0009-0008-7184-4872
Matteo PagnesiInstitute of Cardiology, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia Brescia Italy.ORCID 0000-0002-9298-7871
Juan TorradoDivision of Cardiology, Montefiore Medical Center Albert Einstein College of Medicine Bronx NY USA.ORCID 0000-0002-6527-4219
Julio Echarte-MoralesCardiology Department University Hospital Alvaro Cunqueiro Vigo Spain.ORCID 0000-0003-3951-6875
Francesco CannataDepartment of Perioperative Cardiology and Cardiovascular Imaging Centro Cardiologico Monzino IRCCS Milan Italy.
Rui Campante TelesHospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Carnaxide and Comprehensive Health Research Center (CHRC) Nova Medical School Lisbon Portugal.ORCID 0000-0002-7952-6878
Marianna AdamoInstitute of Cardiology, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia Brescia Italy.ORCID 0000-0002-3855-1815
Maurizio TaramassoHerzZentrum Hirslanden Zurich Switzerland and University of Nicosia Cyprus.
Federico De MarcoUnità Operativa di Cardiologia Interventistica Valvolare e Strutturale Centro Cardiologico Monzino Milan Italy.ORCID 0000-0003-3554-6938
Francesco GianniniU.O. Cardiologia Ospedaliera IRCCS Ospedale Galeazzi Sant'Ambrogio Milan Italy.ORCID 0000-0002-0517-1410
Yohei OhnoDepartment of Cardiology Tokai University Hospital Isehara Kanagawa Japan.ORCID 0000-0003-4203-7613
Francesco SaiaCardiology Unit, St. Orsola Hospital IRCCS Azienda Ospedaliero-Universitaria di Bologna Italy.ORCID 0000-0001-9969-2649
Andrea BuonoInterventional Cardiology Unit, Cardiovascular Department Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy.ORCID 0000-0001-5767-7416
Alfonso IelasiDivision of Cardiology, Department of Medicine University of Verona Italy.
Flavio RibichiniDivision of Cardiology, Department of Medicine University of Verona Italy.ORCID 0000-0002-6662-0304
Diego MaffeoInterventional Cardiology Unit, Cardiovascular Department Fondazione Poliambulanza Istituto Ospedaliero Brescia Italy.ORCID 0000-0002-6320-2959
Francesco BedogniDepartment of Cardiology IRCCS Policlinico San Donato, San Donato Milanese Milan Italy.
Won-Keun KimDepartment of Cardiology Kerckhoff Heart Center Bad Nauheim Germany.ORCID 0000-0002-0799-7478
Francesco MaisanoCardio-Thoracic-Vascular Department IRCCS Ospedale San Raffaele Milan Italy.ORCID 0000-0002-3691-1709
Nicolas Van MieghemDepartment of Cardiology Thoraxcenter, Erasmus Medical Center Rotterdam the Netherlands.ORCID 0000-0002-2732-1205
Marco BarbantiFaculty of Medicine and Surgery Università degli Studi di Enna 'Kore' Enna Italy.ORCID 0000-0002-4903-5437
Giuliano CostaU.O.C. Cardiologia, Centro Alte Specialità e Trapianti, P.O.G. Rodolico, A.O.U. Policlinico-V. Emanuele Università di Catania Catania Italy.ORCID 0000-0003-3770-8988
Manaf AssafinDivision of Cardiology, Montefiore Medical Center Albert Einstein College of Medicine Bronx NY USA.
Edwin C HoDivision of Cardiology, Montefiore Medical Center Albert Einstein College of Medicine Bronx NY USA.ORCID 0000-0002-5126-6314
Antonio ColomboCardio Center IRCCS Humanitas Research Hospital Rozzano, Milan Italy.ORCID 0000-0002-2940-2455
Bernhard ReimersCardio Center IRCCS Humanitas Research Hospital Rozzano, Milan Italy.
Howard C HerrmannCardiovascular Division, Hospital of the University of Pennsylvania Philadelphia PA USA.ORCID 0000-0003-3322-9568
Azeem LatibDivision of Cardiology, Montefiore Medical Center Albert Einstein College of Medicine Bronx NY USA.ORCID 0000-0001-9035-343X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmong patients treated for severe aortic stenosis, a small aortic annulus could have a different impact on outcomes according to body size. We aimed to compare forward-flow hemodynamics and clinical outcomes after transcatheter aortic valve replacement in patients with small annuli according to aortic annular area (AAA) index, defined as computed tomography-derived AAA divided by body surface area.

methodsThe TAVI-SMALL 2 (International Multicenter Registry to Evaluate the Performance of Self-Expandable Valves in Small Aortic Annuli 2) observational, retrospective, international cohort study enrolled patients with severe aortic stenosis and small annuli in 16 high-volume centers between 2011 and 2020. Analyses comparing patients with low (ie, ≤2 cm

resultsA total of 1256 patients were included in the analysis. In the 1:1 propensity score-matched population (n=688), the primary predischarge forward-flow composite end point occurred in 48 patients (7.5%) overall and was more common in low versus high AAA index (9.7% versus 5.3%,

conclusionsAmong patients with small aortic annuli undergoing transcatheter aortic valve replacement, the novel AAA index further identifies patients at increased risk of predischarge suboptimal forward-flow hemodynamics. No difference in clinical efficacy at 1-year follow-up was observed according to the AAA index.

Indexed as

Aortic ValveAortic Valve StenosisHemodynamicsTranscatheter Aortic Valve ReplacementAgedAged, 80 and overFemaleHeart Valve ProsthesisHumansMaleProsthesis DesignRegistriesRetrospective StudiesRisk AssessmentRisk FactorsSeverity of Illness Indexaortic annular area indexbody surface areaprosthesis–patient mismatchsmall annuliTAVR

Identifiers

PMID41848051
PMCPMC13279231

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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.