{"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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.00008767173,0.0001267605,0.0002687684,0.00007101412,0.00008095239,0.00002590687,0.000005996641,0.00004880985,0.00003361846],"category_scores_gemma":[0.00008439048,0.00009053152,0.0002574888,0.00009702785,0.0000320695,0.0000407071,0.00002219359,0.00005010869,0.000002033158],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00004548399,"about_ca_system_score_gemma":0.0001308173,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001201576,"about_ca_topic_score_gemma":0.0000158597,"domain_scores_codex":[0.9992142,0.00000797439,0.0001917661,0.0003039449,0.0001156803,0.0001663805],"domain_scores_gemma":[0.9993342,0.00004807491,0.00006997491,0.0003194629,0.00009834993,0.0001299007],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0007362244,0.0003116306,0.873218,0.0002824959,0.001557085,0.1025673,0.00007526954,0.000003690438,0.00008226166,0.0001608176,0.01018184,0.01082338],"study_design_scores_gemma":[0.009506517,0.0009800934,0.7431499,0.0005502614,0.006976143,0.09011064,0.0008445787,0.00007081702,0.0008876867,0.0005572447,0.1458865,0.0004795228],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9922986,0.0007351703,0.0001365605,0.0003269091,0.0001312268,0.0008305103,0.00002700314,0.00004881334,0.005465211],"genre_scores_gemma":[0.9942278,0.00001982876,0.0003822137,0.0002482445,0.00006937479,0.000127704,0.00005218686,0.00001740568,0.004855241],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1357047,"threshold_uncertainty_score":0.3691768,"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."}}