{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:58:52Z","timestamp":1785329932227,"version":"3.55.0"},"reference-count":19,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["ajconline.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Cardiology"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.amjcard.2026.05.034","type":"journal-article","created":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T15:00:27Z","timestamp":1781967627000},"page":"154-161","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Flow State After Transcatheter Aortic Valve Replacement in Low-Flow Severe Aortic Stenosis: Predictors and Outcomes Across Valve Types"],"prefix":"10.1016","volume":"273","author":[{"given":"Hassan","family":"Beesley","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Galvani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oludamilola","family":"Akinmolayemi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grigory","family":"Manyak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yash","family":"Prakash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samin K.","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annapoorna","family":"Kini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stamatios","family":"Lerakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjcard.2026.05.034_bib0001","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.jacc.2014.11.047","article-title":"Impact of classic and paradoxical low flow on survival after aortic valve replacement for severe aortic stenosis","volume":"65","author":"Clavel","year":"2015","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0002","doi-asserted-by":"crossref","first-page":"1992","DOI":"10.1093\/eurheartj\/ehy123","article-title":"Impact of low stroke volume on mortality in patients with severe aortic stenosis and preserved left ventricular ejection fraction","volume":"39","author":"Rusinaru","year":"2018","journal-title":"Eur Heart J"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0003","doi-asserted-by":"crossref","first-page":"e25","DOI":"10.1016\/j.jacc.2020.11.018","article-title":"2020 ACC\/AHA guideline for the management of patients with valvular heart disease","volume":"77","author":"Otto","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0004","doi-asserted-by":"crossref","first-page":"2316","DOI":"10.1161\/CIRCULATIONAHA.112.001290","article-title":"Predictors of mortality and outcomes of therapy in low-flow severe aortic stenosis: a placement of aortic transcatheter valves (PARTNER) trial analysis","volume":"127","author":"Herrmann","year":"2013","journal-title":"Circulation"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0005","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jcmg.2022.05.010","article-title":"Clinical and echocardiographic characteristics of flow-based classification following balloon-expandable transcatheter heart valve in PARTNER trials","volume":"16","author":"Akinmolayemi","year":"2023","journal-title":"JACC Cardiovasc Imaging"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0006","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1001\/jamacardio.2016.0759","article-title":"Evaluation of flow after transcatheter aortic valve replacement in patients with low-flow aortic stenosis: a secondary analysis of the PARTNER randomized clinical trial","volume":"1","author":"Anjan","year":"2016","journal-title":"JAMA Cardiol"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0007","doi-asserted-by":"crossref","first-page":"72","DOI":"10.4244\/AIJ-D-18-00021","article-title":"Impact of preprocedural echocardiographic parameters on increased stroke volume after transcatheter aortic valve replacement","volume":"5","author":"Shirakawa","year":"2019","journal-title":"AsiaIntervention"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0008","first-page":"1196","article-title":"Evolution and prognostic impact of low flow after transcatheter aortic valve replacement","volume":"101","author":"Le Ven","year":"2015","journal-title":"Heart Br Card Soc"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0009","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1093\/ehjci\/jead018","article-title":"Stroke volume index and transvalvular flow rate trajectories in severe aortic stenosis treated with TAVR","volume":"24","author":"Gallone","year":"2023","journal-title":"Eur Heart J - Cardiovasc Imaging"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0010","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCIMAGING.120.012364","article-title":"Impact of flow on prosthesis-patient mismatch following transcatheter and surgical aortic valve replacement","volume":"14","author":"Abbas","year":"2021","journal-title":"Circ Cardiovasc Imaging"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0011","article-title":"Outcomes and predictors of flow improvement after transcatheter aortic valve replacement in patients with low-flow low-gradient aortic stenosis","volume":"9","author":"Besir","year":"2025","journal-title":"Struct Heart"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0012","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.echo.2014.10.003","article-title":"Recommendations for cardiac chamber quantification by Echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging","volume":"28","author":"Lang","year":"2015","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0013","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.echo.2008.11.029","article-title":"Echocardiographic assessment of valve stenosis: EAE\/ASE recommendations for clinical practice","volume":"22","author":"Baumgartner","year":"2009","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0014","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1016\/j.jacc.2013.05.044","article-title":"Impact of low flow on the outcome of high-risk patients undergoing transcatheter aortic valve replacement","volume":"62","author":"Le Ven","year":"2013","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0015","doi-asserted-by":"crossref","first-page":"1959","DOI":"10.1056\/NEJMoa2312573","article-title":"Self-expanding or balloon-expandable TAVR in patients with a small aortic annulus","volume":"390","author":"Herrmann","year":"2024","journal-title":"N Engl J Med"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0016","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.amjcard.2023.12.007","article-title":"Balloon-expandable versus self-expandable valve in transcatheter aortic valve replacement: a nation-wide study","volume":"213","author":"Sa","year":"2024","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0017","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.jcin.2022.11.032","article-title":"5-Year outcomes with self-expanding vs balloon-expandable transcatheter aortic valve replacement in patients with small annuli","volume":"16","author":"Okuno","year":"2023","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0018","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.amjcard.2024.03.042","article-title":"Improved hemodynamics with self-expanding compared to balloon-expandable transcatheter aortic valve implantation in small annulus patients: a propensity-matched analysis","volume":"221","author":"Baudo","year":"2024","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.amjcard.2026.05.034_bib0019","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.amjcard.2025.05.018","article-title":"Comparative outcomes of transcatheter aortic valve replacement and conservative management in patients with low-flow, low-gradient aortic stenosis","volume":"252","author":"Prakash","year":"2025","journal-title":"Am J Cardiol"}],"container-title":["The American Journal of Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914926004133?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914926004133?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:02:03Z","timestamp":1785326523000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002914926004133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":19,"alternative-id":["S0002914926004133"],"URL":"https:\/\/doi.org\/10.1016\/j.amjcard.2026.05.034","relation":{},"ISSN":["0002-9149"],"issn-type":[{"value":"0002-9149","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Flow State After Transcatheter Aortic Valve Replacement in Low-Flow Severe Aortic Stenosis: Predictors and Outcomes Across Valve Types","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjcard.2026.05.034","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}