Evidence map›Paper›PMID 42746663›Full record

ArticleCureus2026

Acquired Immune Thrombotic Thrombocytopenic Purpura Following Transaxillary Transcatheter Aortic Valve Replacement: A Rare Life-Threatening Hematologic Emergency.

Alexandre Tourmous, Nicolas Mubiayi Mujani, Anthony Dionso Diyabanza, Joelle Kefer

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

4 authors.

Alexandre TourmousCardiology, Cliniques Universitaires Saint-Luc, Brussels, BEL.
Nicolas Mubiayi MujaniCardiology, Cliniques Universitaires Saint-Luc, Brussels, BEL.
Anthony Dionso DiyabanzaCardiology, Cliniques Universitaires Saint-Luc, Brussels, BEL.
Joelle KeferCardiology, Cliniques Universitaires Saint-Luc, Brussels, BEL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune thrombotic thrombocytopenic purpura (iTTP) is a rare, life-threatening complication of transcatheter aortic valve replacement (TAVR). Because early thrombocytopenia after TAVR is common and usually benign, iTTP may be overlooked. An 87-year-old man underwent successful transaxillary TAVR. His platelet count fell from 210 to 16×10³/µL within 72 hours, with hemoglobin declining from 9.5 to 6.8 g/dL. There were no bleeding, neurological, or renal manifestations. Laboratory findings were consistent with microangiopathic hemolytic anemia, and ADAMTS13 activity was <1% (French score 3), confirming iTTP. Treatment with plasma exchange, corticosteroids, caplacizumab, and rituximab led to rapid platelet recovery. The diagnosis of iTTP should be considered in patients presenting with unexplained thrombocytopenia and hemolysis after TAVR, even when asymptomatic. Early recognition and prompt initiation of therapy are essential to improve outcomes.

Indexed as

adamts13 deficiencyplasma exchangestructural heart diseasetavrthrombocytopeniathrombotic microangiopathythrombotic thrombocytopenic purpuratranscatheter aortic valve replacement

Identifiers

PMID42746663
PMCPMC13577706

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.