Evidence map›Paper›PMID 42171565›Full record

ArticleJACC. Case reports2026

Novel Technique for Salvaging an Embolized Balloon-Expandable Valve During Transcatheter Mitral Valve Replacement.

Lida Koskina, Antony Kaliyadan, John Wang

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. 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

3 authors.

Lida KoskinaMedStar Health Georgetown University Internal Medicine Residency (Baltimore) Program, Baltimore, Maryland, USA. Electronic address: lida.e.koskina@medstar.net.
Antony KaliyadanDepartment of Cardiology, MedStar Union Memorial Hospital, Baltimore, Maryland, USA; MedStar Heart and Vascular Institute, Baltimore, Maryland, USA.
John WangDepartment of Cardiology, MedStar Union Memorial Hospital, Baltimore, Maryland, USA; MedStar Heart and Vascular Institute, Baltimore, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSalvaging an embolized balloon-expandable valve (Edwards Sapien 3 Ultra) from the left atrium during transcatheter mitral valve replacement. KEY STEPS: 1) Secure the embolized valve in the left atrium. 2) Use multiple snares to crimp and snare the outflow of the valve into a more conical shape to facilitate valve retrieval. 3) Align the valve in the inferior vena cava to avoid obstruction. 4) Proceed with planned transcatheter mitral valve replacement. 5) Consider closure of the iatrogenic atrial septal defect (ASD). POTENTIAL PITFALLS: Failure to retrieve the valve from the left atrium may require emergent cardiotomy. Improper alignment or insecure deployment of the valve in the inferior vena cava can lead to obstruction or distal embolization. In addition, a large iatrogenic ASD can lead to right ventricular failure. Finally, closure of the ASD without valve replacement will jail future access. TAKE-HOME MESSAGE: In vivo crimping of the outflow of the Edwards Sapien 3 Ultra valve can allow for retrieval of the valve through the atrial septum without surgery.

Indexed as

atrial septal defect closureEdwards S3 Ultra valvemitral valve diseasetranscatheter mitral valve replacementvalve embolization

Identifiers

PMID42171565
PMCPMC13326275

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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.