{"id":"W4416547160","doi":"10.1016/j.jaccas.2025.106142","title":"ELASTACLIP and TMVR for Failed TEER With Leaflet Tear","year":2025,"lang":"en","type":"article","venue":"JACC Case Reports","topic":"Cardiac Valve Diseases and Treatments","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"St. Michael's Hospital","funders":"","keywords":"Leaflet (botany); Mitral valve; Valve replacement; Mitral valve replacement; Mitral valve annuloplasty","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0004727564,0.0005965508,0.000763145,0.000821865,0.00113518,0.0008818048,0.0007726972,0.002776106,0.002138012],"category_scores_gemma":[0.001796285,0.0002088562,0.0008089726,0.0003851837,0.0008810653,0.001110767,0.0006093699,0.002420909,0.0006889133],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004380721,"about_ca_system_score_gemma":0.0004602653,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0002538203,"about_ca_topic_score_gemma":0.000534351,"domain_scores_codex":[0.99965,0.00005338588,0.00005090873,0.00007315952,0.00006495992,0.0001076092],"domain_scores_gemma":[0.9991487,0.0002226764,0.0001927226,0.00006206766,0.00003243869,0.0003414565],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.0002017625,0.0000739024,0.02813638,0.0001054923,0.00004322161,0.955004,0.0001456671,0.0001311506,0.001917933,0.0004171398,0.001345765,0.01247762],"study_design_scores_gemma":[0.00002181347,0.0001669541,0.009173616,0.0000604808,0.00001922395,0.9875835,0.00008640331,0.0003751263,0.00049278,0.000350214,0.001658382,0.00001154154],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.925384,0.03294522,0.007620527,0.01506848,0.001396726,0.0001061945,0.0001655674,0.000292822,0.01702052],"genre_scores_gemma":[0.9912413,0.002764554,0.001530907,0.001864564,0.001442343,0.00001752361,0.0001101026,0.00002091097,0.001007787],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.002776106,"threshold_uncertainty_score":0.007152379,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.007250324849681374,"score_gpt":0.3358877825872267,"score_spread":0.3286374577375453,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}