Evidence map›Paper›PMID 41367365›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2026

Nationwide Analysis of PCI After TAVR From the Netherlands Heart Registration.

Hugo M Aarts, Kimberley I Hemelrijk, Gijs M Broeze, Steven A Muller, Lineke Derks, Ronak Delewi, Michiel Voskuil, Transcatheter Heart Intervention and Percutaneous Coronary Intervention registration committees of the Netherlands Heart Registration

Abstract read
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 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. Nationwide Analysis of PCI After TAVR From the Netherlands Heart Registration.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    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

8 authors.

Hugo M AartsDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0003-0852-8275
Kimberley I HemelrijkDepartment of Cardiology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Gijs M BroezeDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Steven A MullerDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Lineke DerksNetherlands Heart Registration, Utrecht, The Netherlands.
Ronak DelewiDepartment of Cardiology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Michiel VoskuilDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Transcatheter Heart Intervention and Percutaneous Coronary Intervention registration committees of the Netherlands Heart Registration

Funding

Netherlands Organization for Health Research and Development 852002124.
6 · The paper itself

Abstract

backgroundPercutaneous coronary intervention (PCI) after transcatheter aortic valve replacement (TAVR) has gained interest as concomitant coronary artery disease (CAD) is now often treated conservatively before TAVR, and TAVR is increasingly used in younger patients with longer life expectancies. Therefore, more contemporary data on PCI after TAVR are warranted to optimize CAD treatment and guide lifetime management. The primary objective was to evaluate the incidence of PCI in patients with prior TAVR, including insights on trends and procedural and clinical outcomes from a large, nationwide cohort.

methodsData from the Netherlands Heart Registration were used to identify patients with prior TAVR who underwent PCI between January 2015 and September 2021.

resultsAmong 216,813 PCI patients, 419 (0.19%) had previously undergone TAVR, representing an incidence of 2.81% among all TAVR patients (n = 14,933) in the Netherlands. The annual proportion of PCI procedures after TAVR increased from 0.05% in 2015 to 0.39% in 2021 (p < 0.001). Procedural adverse events were low. Patients treated with self-expanding transcatheter heart valves (THVs) more frequently underwent PCI without stenting (17.8% vs. 10.1%, p = 0.049), though target vessel revascularization rates and all-cause mortality were comparable. Matched patients with and without prior TAVR had similar clinical outcomes.

conclusionsThe incidence of PCI after TAVR is low but increasing. Clinical outcomes are comparable between THV platforms, but self-expanding THVs were associated with higher rates of PCI without stent implantation. The growing need for PCI after TAVR underscores the importance of coronary access in lifetime management strategies by multidisciplinary heart teams.

Indexed as

Aortic Valve StenosisCoronary Artery DiseasePercutaneous Coronary InterventionTranscatheter Aortic Valve ReplacementAgedAged, 80 and overFemaleHumansIncidenceMaleNetherlandsRegistriesRisk AssessmentRisk FactorsTime FactorsTreatment Outcomecoronary accesspercutaneous coronary interventiontranscatheter aortic valve replacement

Identifiers

PMID41367365
PMCPMC12902725

What Socratic holds

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LicenceCC BY
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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 Socratic graph.