Evidence map›Paper›PMID 42500613›Full record

ArticleJTCVS structural and endovascular2026

Hospital volume and efficiency in transcarotid transcatheter aortic valve replacement: Insights from a national database of 10,000+ cases.

Gloria Zacharias, Connor Moynihan, Daohai Yu, Xiaoning Lu, Karan Patel, William Moser, Suyog Mokashi

Abstract read
In one paragraph

Article in JTCVS structural and endovascular, 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

7 authors.

Gloria ZachariasLewis Katz School of Medicine at Temple University, Philadelphia, Pa.
Connor MoynihanLewis Katz School of Medicine at Temple University, Philadelphia, Pa.
Daohai YuDepartment of Biomedical Education and Data Science, Lewis Katz School of Medicine at Temple University, Philadelphia, Pa.
Xiaoning LuDepartment of Biomedical Education and Data Science, Lewis Katz School of Medicine at Temple University, Philadelphia, Pa.
Karan PatelLewis Katz School of Medicine at Temple University, Philadelphia, Pa.
William MoserDivision of Cardiovascular Surgery, Temple University Hospital, Philadelphia, Pa.
Suyog MokashiDivision of Cardiovascular Surgery, Temple University Hospital, Philadelphia, Pa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: When transfemoral transcatheter aortic valve replacement (TAVR) is unsuitable, transcarotid TAVR offers a safe alternative. The relationship between hospital procedural volume and clinical outcomes remains unclear, and solidifying this relationship is key to establishing benchmarks and guiding high-quality care. Methods: We retrospectively analyzed US academic centers in the Vizient Clinical Database, a national repository of tertiary and quaternary hospital data. All centers performing transcarotid TAVR in 2022 to 2024 were included. Patient demographics and outcomes were compared using the Kruskal-Wallis and χ Results: Between 2022 and 2024, 118 academic hospitals performed 10,394 transcarotid TAVR procedures. Institutions were stratified by 3-year cumulative procedural volume: Q1, 15 to 47 cases (n = 87); Q2, 48 to 77 (n = 87); Q3, 78 to 111 (n = 90); and Q4, 112 to 312 (n = 90). High-volume centers treated older patients (71 years vs 69 years), a higher proportion of white patients (85.4% vs 64.5%), more Medicare beneficiaries (72.4% vs 62.8%), and patients with lower case complexity (Case Mix Index, 2.6 vs 3.5) ( Conclusions: Higher hospital transcarotid TAVR volume is associated with greater resource efficiency, likely attributable in part to lower patient complexity. Mortality and complication outcomes were roughly comparable between transcarotid and transfemoral TAVR, suggesting comparable short-term safety across institutions.

Indexed as

clinical outcomeshospital volumeICU utilizationlength of stayresource optimizationtranscarotid TAVRtranscatheter aortic valve replacement

Identifiers

PMID42500613
PMCPMC13396957

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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.