Evidence map›Paper›PMID 42032736›Full record

Trial reportJournal of cardiothoracic surgery2026

Trans-catheter versus open surgical aortic valve replacement in severe symptomatic aortic stenosis.

Mohammed Fawzy Eltaweel, Ismail Nasr Elsokkary, Mohamed Wael Badawi, Ahmed Yacoub Mohamed Adas, Ahmed Alherazi, Mohamed A Wahba Yossif, Gamil K Ibrahim, Ahmed Ramadan, Hani Albatrek, Ibrahim Mohammed Khalil

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of cardiothoracic surgery, 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

10 authors.

Mohammed Fawzy EltaweelDepartment of Cardiothoracic surgery, Faculty of Medicine, Menoufia University, Shebin El-kom, Egypt. mfawzy_cts@yahoo.com.ORCID http://orcid.org/0009-0000-1728-8440
Ismail Nasr ElsokkaryDepartment of Cardiothoracic surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID http://orcid.org/0000-0001-9651-5671
Mohamed Wael BadawiDepartment of Cardiothoracic surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID http://orcid.org/0009-0006-2962-7730
Ahmed Yacoub Mohamed AdasDepartment of Cardiothoracic surgery, Faculty of Medicine, Beni Seuf University, Beni Suef, Egypt.
Ahmed AlheraziDepartment of Cardiothoracic surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0002-1618-5604
Mohamed A Wahba YossifDepartment of Cardiothoracic surgery, Faculty of Medicine, Al-Azhar Assiut University, Assiut , Egypt.
Gamil K IbrahimDepartment of Cardiothoracic surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed RamadanDepartment of Cardiac surgery, National Heart Institute, Cairo, Egypt.
Hani AlbatrekDepartment of Cardiac surgery, National Heart Institute, Cairo, Egypt.
Ibrahim Mohammed KhalilDepartment of Cardiothoracic surgery, Faculty of Medicine, Menoufia University, Shebin El-kom, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objectives of this study were: (1) to compare the incidence of effective orifice area (EOA) after either the trans-catheter and surgical aortic valve replacement (SAVR); and (2) to assess the impact of EOA on life style modifications and mortality recorded after either surgical or trans-catheter aortic valve replacement. Trans-catheter aortic valve replacement (TAVR) has emerged as a valid alternative to SAVR in selected patients. It appears important to implement preventive strategies to avoid prosthesis failure without increasing operative risk.

methodsA case series of 148 consecutive patients from January 2023 to January 2025 with severe aortic valve stenosis. The patients were randomized into two groups as trans-catheter aortic valve replacement (TAVR as group A) and surgical aortic valve replacement (SAVR as group B). The Echocardiography was done pre- and postoperatively, plus scales of life activities in the follow-up period (6 months and one year).

resultsIn this study, a total of 148 patients were studied to determine the outcomes of patients who underwent either trans-catheter or surgical aortic valve replacement in terms of demographic, operative, and postoperative variables. There were significant improvement in Echo findings after 6 months and one year. In the other side, there were no significant differences comparing both groups according to quality of life parameters.

conclusionsIn patients with severe aortic stenosis and high surgical risk, EOA is good indicator for the success of SAVR than TAVR. TAVR may be preferable to SAVR in patients with better life style modifications.

Indexed as

Aortic ValveAortic Valve StenosisHeart Valve Prosthesis ImplantationTranscatheter Aortic Valve ReplacementAgedAged, 80 and overEchocardiographyFemaleFollow-Up StudiesHumansMaleSeverity of Illness IndexTreatment OutcomeAortic valveEchocardiographyProsthesisStenosisTrans-catheterValve replacement

Identifiers

PMID42032736
PMCPMC13112622

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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.