Evidence map›Paper›PMID 32501644›Full record

ArticleESC heart failure2020

Transcatheter indirect mitral annuloplasty induces annular and left atrial remodelling in secondary mitral regurgitation.

Tobias Friedrich Ruf, Felix Kreidel, Alexander Robert Tamm, Martin Geyer, Omar Hahad, Julia Claudia Zirbs, Ben Luca Schwidtal, Andres Beiras-Fernandez, Klaus K Witte, Thomas Münzel and 1 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Impact of Right Ventricular to Pulmonary Artery Coupling on Survival Following Indirect Mitral Annuloplasty.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Indirect Mitral Annuloplasty Using the Carillon Device.Frontiers in cardiovascular medicine · 2020
    Review
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

11 authors at 2 institutions in 2 countries.

Tobias Friedrich RufHeart Valve Center Mainz, Center for Cardiology I, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.ORCID 0000-0003-4540-6621
Felix KreidelHeart Valve Center Mainz, Center for Cardiology I, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Alexander Robert TammHeart Valve Center Mainz, Center for Cardiology I, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Martin GeyerHeart Valve Center Mainz, Center for Cardiology I, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Omar HahadHeart Valve Center Mainz, Center for Cardiology I, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Julia Claudia ZirbsHeart Valve Center Mainz, Center for Cardiology I, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Ben Luca SchwidtalHeart Valve Center Mainz, Center for Cardiology I, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Andres Beiras-FernandezHeart Valve Center Mainz, Department of Heart and Vascular Surgery, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany.
Klaus K WitteLeeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Thomas MünzelHeart Valve Center Mainz, Center for Cardiology I, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Ralph Stephan von BardelebenHeart Valve Center Mainz, Center for Cardiology I, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Johannes Gutenberg University Mainz · DEUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsMitral annuloplasty using the Carillon Mitral Contour System (CMCS) reduces secondary mitral regurgitation (SMR) and leads to reverse left ventricular remodelling. The aim of this study was to evaluate the effect of the CMCS on the mitral valve annulus (MA) and left atrial volume (LAV). METHODS AND

resultsWe retrospectively evaluated the data of all patients treated with the CMCS at our centre. Using transthoracic echocardiography, MA diameters were assessed by measuring the anterolateral to posteromedial extend (ALPM) and the anterior to posterior (AP) dimensions, respectively. Also, LAV and left ventricular end-diastolic volume (LVEDV) were assessed. Patients were examined at three time points: baseline, at 20-60 days (30dFUP), and at 9-15 months (1yFUP), using paired analysis. From July 2014 until March 2019, 75 cases of severe SMR were treated using CMCS. Cases in which other devices were used in combination (COMBO therapy, n = 35) or in which the device could not be implanted (implant failure, n = 3) were excluded, leaving 37 patients in the present analysis. Analysis at 30dFUP showed a significant reduction of 16% in the mean ALPM diameter (7.27 ± 5.40 mm) and 15% in the AP diameter (6.57 ± 5.33 mm). Analysis of LAV also showed a significant reduction of 21% (36.61 ± 82.67 mL), with no significant change in LVEDV. At 1yFUP, the reduction of both the mean ALPM diameter of 14% (6.24 ± 5.70 mm) and the mean AP diameter of 12% (5.46 ± 4.99 mm) remained significant and stable. The reduction in LAV was also maintained at 23% (37.03 ± 56.91 mL). LAV index was significantly reduced by 17% at 30dFUP (15.44 ± 40.98 mL/m

conclusionsThe CMCS successfully treats symptomatic SMR with a stable reduction of not only the AP diameter of the MA, but the current study also demonstrates an additional reduction of the ALPM dimension at both 30dFUP and 1yFUP. We have also shown for the first time that LAV and LAV index are significantly reduced at both 30dFUP and 1yFUP and a non-significant positive remodelling of the LVEDV. This positive left atrial remodelling has not been looked for and demonstrated in earlier randomized studies of CMCS.

Indexed as

Atrial RemodelingMitral Valve AnnuloplastyMitral Valve InsufficiencyHumansMitral ValveRetrospective StudiesCarillonLAVMitral valve annulusPMVRRemodellingTranscatheter

Identifiers

PMID32501644
PMCPMC7373883
OpenAlexW3033085749

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.